TEACHERS COLLEGE Columbia University

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1 TEACHERS COLLEGE Columbia University OFFICE OF TEACHER EDUCATION 525 West 120 th Street, Zankel Hall 411 (Box 97), New York, NY Tel#: FAX#: ONLINE: Teachers College (TC) Requirements Certification Check List New York State Education Department (NYSED) Requirements Complete your IRDF and submit to the Office of Teacher Education (OTE) Zankel Hall 411 Include ALL Official UNDERGRADUATE & Other NON-TC transcripts Workshops: Child Abuse Workshop proof School Violence Prevention Workshop proof HBSS 4116 (taken in-lieu of Child Abuse/School Violence Workshops) Recorded on the NYSED-TEACH System: Child Abuse School Violence Prevention For those applying for NYS Permanent or Professional Certificate: Provide a copy of the COMPLETED Verification of Experience form (3 years for Professional or 2 years for Permanent) with this form. Original Verification of Experience form MUST be mailed (by the candidate) to the NYSED. On the NYSED TEACH System: Electronically apply for certificate Pay $50 per certificate Take/pass New York State Teacher Certification Exams (NYSTCE) (If applicable): LAST (Liberal Arts & Science Test) ATS-W (Assessment in Teaching Skills Written) CST (Content Specialty Test) BEA (Bilingual Education Assessment) applicable only to Bilingual Extension candidates SLA (School Leadership Assessments) applicable only to Ed Leadership candidates Fingerprint Clearance For those in the Literacy Specialist Reading Specialist Programs ONLY: You must provide a copy of a VALID state issued teacher certification. FYI & ATTENTION NYSED General Core Liberal Arts and Science Pre-requisites: NOTE: Prior to a Teachers College institutional recommendation, the following MUST be met: Pre-K & Elementary Level: 6 credits (each) in: Math (courses taken under MATH Dept. ONLY) Science (courses taken under SCIENCE Dept. ONLY) English History Foreign Language Secondary Level: 3 credits (each) in: Math (courses taken under MATH Dept. ONLY) Science (courses taken under SCIENCE Dept. ONLY) English History Foreign Language Submit your IRDF (and ALL supporting documents) to: The Office of Teacher Education & School-based Support Services (OTE/SSS) 525 W. 120 th Street Box 97 New York, NY ATTN: Faride Suarez, Associate Director of Certification Compliance If you are expecting to graduate, the OTE will not be able to process your IRDF/NYSED recommendation until your degree has been awarded. NYSED - TEACH Online: Go to: Kindly follow all NYSED application steps & update your NYSED TEACH Education History information. As per the NYSED, after satisfactorily completing all the above Teachers College and NYSED requirements AND having been institutionally recommended, your initial certificate should be issued in approximately hours. Check your NYSED - TEACH Account Information System for updates and certificate status. * * Remember to keep a copy of all your documents for your records. * *

2 TEACHERS COLLEGE Columbia University OFFICE OF TEACHER EDUCATION 525 West 120 th Street, Zankel Hall 411 (Box 97), New York, NY Tel#: FAX#: ONLINE: Institutional Recommendation Data Form (IRDF) for New York State Certification Kindly complete and return this form to the Office of Teacher Education (OTE) - Zankel Hall 411. If applying for multiple certifications, you MUST complete an IRDF s for EACH Certificate Title - Please use BLUE or BLACK ink ONLY (NO PENCIL). General Information Name: Last First Middle TC#: Other Last Name(s) previously used: SS#: (required by NYSED for certification purpose) Mailing Address: Date of Birth: City State Zip / / Address: Telephone #: Gender: Male Female I will be graduating in May Teachers College Graduation Periods NOTE: Candidates already with a conferred degree may submit the IRDF as soon as the IRDF is completed. I will be graduating in October. I will be taking courses during : SUMMER A SUMMER B None I will be graduating in February Degree Type: MA M Ed MS Ed D Certification Information Certification Type: Initial Professional Permanent Trans-B (PCF ONLY) Provisional (School Psychologist & School Counseling ONLY) Conferred Degree Date: / / Certification Title: Fill out the section below ONLY if you have been previously certified in New York State and/or in any other state: Previous Certificate Title: Previous Certificate Type: Initial Provisional Permanent Trans-B Other: Enclosures All candidates MUST submit the following required documents Official Undergraduate & other non-tc transcripts in sealed in original envelope. Note: Teachers College transcripts will be supplied by OTE. Child Abuse (CA) Workshop Form AND School Violence Prevention (SVP) Workshop Form NOTE: NOTE: HBSS 4116 Recorded on the NYSED TEACH System: CA AND SVP For Candidates completing a program in Literacy Specialist Reading Specialist ONLY. Kindly provide a copy of a VALID state issued teacher certification. An institutional recommendation will not be entered until proof is provided. For Permanent Professional candidates ONLY. Kindly provide a copy of the COMPLETED Verification of Experience form (3 years for Professional or 2 years for Permanent) with this form. Original Verification of Experience form MUST be mailed (by the candidate) to the NYSED. Signature I declare and affirm that the statements made in this data form, including accompanying documents, are true, complete and correct. I understand that any false or misleading information in, or in connection with, my data form may be cause for denial or loss of certification and may result in criminal prosecution. Candidate Signature: Date Signed: For Office Use ONLY Official Undergraduate Transcript Transcript: CA SVP CA SVP HBSS 4116 NYSED-TEACH: CA SVP Institutional Code: Program Code: Major Code Processing Stamps Processing Comment: MTH = SCI = HIST = Date Received Stamp First Entry By: ENG = FL = Final Entry By: REG Cleared = Date received from REG =

3 Arts and Humanities Art and Art Ed. MA 40 (Int/Prf) Art and Art Ed. Visual Arts (All grades) Arts and Humanities Art and Art Ed. MA 34 (Prf) Art and Art Ed. Visual Arts (All grades) Arts and Humanities Music and Music Ed. MA 40 (Int/Prf) Music and Music Ed. Music (All Grades) Arts and Humanities Music and Music Ed. MA 32 (Prf) Music and Music Ed. Music (All Grades) Arts and Humanities Music and Music Ed. EdM 60 (Int/Prf) Music and Music Ed. Music (All Grades) Arts and Humanities Tchng of English MA 38 (Int/Prf) English Language Arts 7-12 English Language Arts 7-12 Arts and Humanities Tchng of English MA 34 (/Prf) English Language Arts 7-12 English Language Arts 7-12 Arts and Humanities Tchng of English (PCF) MA 34 (Int/Prf) Alt. Cert. - Adolescence Ed.: English (Trans B) English 7-12 Arts and Humanities TESOL MA (Int/Prf) TESOL ESOL Arts and Humanities TESOL (PCF) MA 39 (Int/Prf) Alt. Cert. - ESOL (Trans B) ESOL Arts and Humanities Tchng of Soc. Studies MA 38 (Int/Prf) Teaching of Soc. Studies Social Studies 7-12 Arts and Humanities Tchng of Soc. Studies MA 32 (Prf) Teaching of Soc. Studies Social Studies 7-12 Biobehavioral Sciences Physical Ed. MA 32 (Int/Prf) Physical Ed. Physical Ed. (All Grades) Biobehavioral Sciences Curriculum & Teaching in Physical Ed. MA 32 (Prf) Physical Ed. Physical Ed. (All Grades) Biobehavioral Sciences Speech Language Pathology MS (Int) Speech Language Pathology Speech & Language Disabilities (All Grades) Bilingual Ext. Biobehavioral Sciences Speech Language Pathology MS (Int) Speech Language Pathology Speech & Language Disabilities (All Grades) Biobehavioral Sciences Speech Language Pathology MS Prf Speech Language Pathology Speech & Language Disabilities (All Grades) Counseling & Psychological Counseling EdM 60 (Prv/Perm) School Counselor School Counselor Clinical Psychology Bilingual Ext. Elem. Bilingual Ext. Sec. Counseling & Psychological Counseling MA 32 (Prv) School Counselor School Counselor Clinical Psychology Curriculum & Teaching Curriculum & Teaching MA 32 (Prf) Curriculum & Teaching (Elem Ed.) Curriculum & Teaching Curriculum & Teaching MA 32 (Prf) Curriculum & Teaching (Sec. Ed.) English 7-12 Math 7-12 Social Studies 7-12 Biology 7-12 Chemistry 7-12 Physics 7-12 Earth Science 7-12 Curriculum & Teaching Early Child. Ed. MA 40 (Int/Prf) Early Child. Ed. Early Childhood Birth-2 Curriculum & Teaching Child./ Early Child. Ed. (Dual Cert.) MA 40 (Int/Prf) Child./ Early Child. Ed. Early Childhood Birth-2 Curriculum & Teaching Early Child. Ed. (PCF) MA 40 (Int/Prf) Alt. Cert. - Early Child./ Sp. Ed. (Trans B) Early Childhood Birth-2 Sp. Ed. Birth-2 Curriculum & Teaching Inclusive Elem. Ed. MA 40 (Int/Prf) Inclusive Elem. Ed. Biology 7-9 Ext. Chemisrty 7-9 Ext. Gifted Ed. Ext. Curriculum & Teaching Inclusive Elem. Ed. (Dual) MA 51 (Int/Prf) Inclusive Elem. Ed. Dual Sp. Ed 1-6 Curriculum & Teaching Literacy Specialist MA 32 (Int/Prf) Tchng Literacy Literacy Birth-6 Curriculum & Teaching Early Child. Sp. Ed. MA 40 (Int/Prf) Early Child. Sp. Ed. Sp. Ed. Birth-2 Curriculum & Teaching Early Child./ Early Child. Sp. Ed. (Dual Cert.) MA 48 (Int/Prf) Early Child. Sp. Ed. Early Childhood Birth-2 Sp. Ed. Birth-2 Curriculum & Teaching Gifted Ed. MA 32 (Int/Prf) MA Ext. Program (In-Service) Gifted Ed. Ext.

4 Curriculum & Teaching Learning Disabilities MA (Int/Prf) Tchng SWD - Learning dis/abilities Sp. Ed. 1-6 Sp. Ed. Generalist 5-9 Sp. Ed. English 5-9, 7-12 Sp. Ed. Social Studies 5-9, 7-12 Sp. Ed. Math Sp. Ed. Biology 5-9, 7-12 Sp. Ed. Chemistry 5-9, 7-12 Sp. Ed. Earth Science 5-9, 7-12 Sp. Ed. Physics 5-9, 7-12 Curriculum & Teaching Disability Students in Ed. MA 32 (Int/Prf) Disability Studies in Ed. Sp. Ed. 1-6 Sp. Ed. Generalist 5-9 Sp. Ed. English 5-9, 7-12 Sp. Ed. Social Studies 5-9, 7-12 Sp. Ed. Math Sp. Ed. Biology 5-9, 7-12 Sp. Ed. Chemistry 5-9, 7-12 Sp. Ed. Earth Science 5-9, 7-12 Sp. Ed. Physics 5-9, 7-12 Health & Behavioral Studies Reading Specialist - Applied Educational Psy MA 34 (Int/Prf) Reading Specialist Literacy Birth-6 Literacy 5-12 Health & Behavioral Studies Applied Developmental EdM 66 (Perm) Applied Developmental School Psychology & Learning Psy: School Psy & Learning Psy: School Psy Health & Behavioral Studies Applied Developmental EdM 66 (Int/Prf) Applied Developmental Bilingual Ext. & Learning Psy: School Psy Learning Psy: School Psy w/ Bilingual Ext. Health & Behavioral Studies Applied Educational Psy: School Psy EdD 95 (Prv/Perm/Lic.Qual)* Applied Educational Psy : School Psy School Psychology Psychologist Health & Behavioral Studies Applied Educational Psy: School Psy PhD 95 (Lic. Qual)* Applied Educational Psy: School Psy Psychologist Health & Behavioral Studies Applied Behavior Analysis MA 32 Int/Prf Tchng SWD - Early Child./ Child. / Sp. Ed. Birth-2 Applied Behavior Analysis Sp. Ed. 1-6 Early Childhood Birth-2 Health & Behavioral Studies Blindness & Visual Impairment EdM 76 (Int/Prf) Blindness & Visual Impairment/ Child. Ed. Blind & Visually Impaired (All Grades) Health & Behavioral Studies Blindness & Visual Impairment EdM 76 (Int/Prf) Blindness & Visual Impairment / Blind & Visually Impaired (All Grades) Early Child. Ed. Sp. Ed. Sp. Ed. Birth-2 Health & Behavioral Studies Blindness & Visual Impairment EdM 76 (Int/Prf) Blindness & Visual Impairment/ Adolescence Ed. Blind & Visually Impaired (All Grades) Biology 7-12 Chemistry 7-12 Earth Science 7-12 Physics 7-12 Math 7-12 Social Studies 7-12 English 7-12 Health & Behavioral Studies Blindness & Visual Impairment MA 45 (Int/Prf) Blindness & Visual Impairment Blind & Visually Impaired (All Grades) Health & Behavioral Studies Blindness & Visual Impairment EdM 54 (Int/Prf) Blindness & Visual Impairment Blind & Visually Impaired (All Grades) Health & Behavioral Studies Deaf & Hard of Hearing EdM 60 (Int/Prf) Deaf & Hearing Impaired/ Elem. Ed. Deaf/ Hearing (All Grades) Health & Behavioral Studies Deaf & Hard of Hearing EdM 60 (Int/Prf) Deaf & Hearing Impaired/ Adolescence Ed. Deaf/ Hearing (All Grades) English 7-12 Biology 7-12 Chemistry 7-12 Earth Sciences 7-12 Physics 7-12 Math 7-12 Social Studies 7-12 Health & Behavioral Studies Deaf & Hard of Hearing EdM 60 (Int/Prf) Ed. of the Deaf & Hard of Hearing Deaf/ Hearing (All Grades) Health & Behavioral Studies Deaf & Hard of Hearing EdM 60 (Int/Prf) Deaf Ed. & Reading Specialist Deaf/ Hearing (All Grades) & Reading Specialist (Dual Cert.) Literacy 5-12 Literacy Birth-6 Health & Behavioral Studies Tch Stds w/ Dis Mental Retardation/ Autisum MA 47 (Int/Prf) Tch Stds w/ Dis Mental Retardation/ Autisum Sp. Ed. 1-6 Sp. Ed. 5-9 Middle Childhood Generalist 5-9 Health & Behavioral Studies Intelectual Disabilities/ Autisum & Elem./ Child. Ed. EdM 60 (Int/Prf) Tchng SWD - Child./ Intelectual Disabilities/ Autisum Sp. Ed. 1-6

5 Health & Behavioral Studies Intelectual Disabilities/ Autisum & Early Child. Ed. EdM 60 (Int/Prf) Tchng SWD - Early Childh./ Sp. Ed. Birth-2 Intelectual Disabilities/ Autisum Early Childhood Ed. Birth-2 Health & Behavioral Studies Teaching the Severe & Multiple Handicapped MA 32 (Int/Prf) Teaching the Severe & Multiple Handicapped Severe/Multiple Disabilities Ann Health & Behavioral Studies Tchng of ASL as a Foreign Language MA 45 (Int/Prf) Teaching of ASL as a Foreign Language AMSLAN 7-12 International & Bilingual/ Bicultural Ed. MA (Int/Prf) Bilingual/ Bicultural Child. Ed. Transcultural Studies Bilogy 7-9 Ext. Chemisrty 7-9 Ext. Bilingual Teacher Ext. Chinese 7-9 Ext. Generalist 5-9 International & Bilingual/ Bicultural Ed. MA 33 (Int/Prf) Bilingual/ Bicultural Child. Ed. Generalist 5-9 Transcultural Studies (leads to 2nd Int.cert., should not lead to Child. Ed.) Bilogy 7-9 Ext. Chemistry 7-9 Ext. Bilingual Teacher Ext. Chinese 7-9 Ext. International & Bilingual/ Bicultural Ed. Ext. Adv/Cert 15 (Int/Prf) Ext Bilingual/ Bicultural Ed. Ext. Bilingual Ext. Transcultural Studies International & Bilingual/ Bicultural Ed. (PCF) MA 33 (Int/Prf) Alt. Cert. - Bilingual/ Bicultural Child. Ed. Transcultural Studies (Trans B) Biology 7-9 Ext. Chemistry 7-9 Ext. Bilingual Teacher Ext. Chinese 7-9 Ext. Generalist 5-9 Math, Sci & Tech Math Ed. MA 32 (Int/Prf) Mathematics Ed. Mathematics 7-12 Math, Sci & Tech Math Ed. MA 32 (Prf) Mathematics Ed. Mathematics 7-12 Math, Sci & Tech Math Ed. MS 60 (Prf) Mathematics Ed. Mathematics 7-12 Math, Sci & Tech Math Ed. MSED 60 (Prf) Mathematics Ed. Mathematics 7-12 Math, Sci & Tech Math Ed. (PCF) MA 32 (Int/Prf) Alt. Cert. - Mathematics Ed. (Trans B) Mathematics 7-12 Math, Sci & Tech Tchng Biology MA 36 (Int/Prf) Biology 7-12 Biology 7-12 Math, Sci & Tech Tchng Biology (PCF) MA 34 (Int/Prf) Alt. Cert. - Biology 7-12 (Trans B) Biology 7-12 Biology 5-6 Ext. Math, Sci & Tech Tchng Chemistry MA 36 (Int/Prf) Chemistry 7-12 Chemistry 7-12 Math, Sci & Tech Tchng Chemistry (PCF) MA 34 (Int/Prf) Alt. Cert. - Chemistry 7-12 (Trans B) Chemistry 7-12 Chemistry 5-6 Ext. Math, Sci & Tech Tchng Earth Science MA 36 (Int/Prf) Earth Science 7-12 Earth Science 7-12

6 Math, Sci & Tech Tchng Earth Science (PFC) MA 34 (Int/Prf) Alt. Cert. - Earth Science 7-12 (Trans B) Earth Science 7-12 Earth Science 5-6 Ext. Math, Sci & Tech Tchng Physics MA 36 (Int/Prf) Physics 7-12 Physics 7-12 Math, Sci & Tech Tchng Physics (PCF) MA 34 (Int/Prf) Alt. Cert. - Physics 7-12 (Trans B) Physics 7-12 Physics 5-6 Ext. Math, Sci & Tech Technology Specialist MA 36 (Int/Prf) Technology Specialist K-12 Ed. Technology Specialist Mental Health Counceling Mental Health Counceling EdM Lic. Qual* Mental Health Counselor Mental Health Counselor Organization & Leadership Public School Building Leadership MA 32 (Int/Prf) Public School Building Leadership School Building Leadership (SPA only) Organization & Leadership Public School Building Leadership EdM 60 (Int/Prf) Public School Building Leadership School Building Leadership Organization & Leadership Public School District Leadership EdD 90 (Prf) Public School District Leadership School District Leadership Organization & Leadership Inquiry in Education Leardership Practice EdD 90 (Prf) Inquiry in Ed. Leadership Practice School District Leadership * = Form 2 - Diana Maul

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