ADDITIONAL ENDORSEMENT APPLICATION Instructions Page 1 of 10

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1 ADDITIONAL ENDORSEMENT APPLICATION Instructions Page 1 of 10 PERSONAL INFORMATION Enter all personal information in the spaces provided, including contact phone number(s) and address. The Teacher Certification office will mail your certificate to the address that you provide. If you have held Alaska certification prior to this application and your name has changed, you will need to submit a photocopy of a legal document verifying the change with your application packet. It is your responsibility to maintain current information, including name and mailing address, on file with the Teacher Certification office. You may update your contact information by ing the Teacher Certification office at or online at https://education.alaska.gov/teachercertification/contactchange/. REQUESTED ENDORSEMENTS Endorsements will only be granted if they have been requested in this section of the application. List all endorsements that you are requesting to be added to your certificate. When requesting an endorsement, indicate endorsement area and grade level if applicable. Requesting an endorsement does not guarantee that the endorsement will be granted. Endorsements will only be granted based on Alaska s endorsement requirements. REQUIREMENTS FOR ADDING AN ENDORSEMENT Endorsements may only be added to the following types of certificates: Initial (two- or three- year) certificate Type B regular (5-year) certificate Professional (5-year) teaching certificate Type C regular (5-year) certificate You may add an endorsement in one of the following three ways: 1. To add an endorsement in a content area, submit official transcripts with a posted degree (doctorate, master s, or bachelor s degree) with a posted major or minor (of at least 18 semester hours) in the content area desired. Additional grade levels may not be added to your certificate in this way. 2. To add an endorsement in a content area or to add developmental/grade levels to your certificate, have the preparing institution complete the institutional recommendation form. This form must have the original signature and stamp/seal of the university. Official transcripts reflecting all coursework leading to completion of the program must be included. This is the only way to add new developmental/grade levels to your certificate. Important note: If you are adding an endorsement in Special Education that you previously had removed from your Alaska teaching certificate, you may be eligible to return your endorsement in Special Education to your certificate at no cost. Contact the Teacher Certification Office at (907) or for more information. 3. To add an endorsement in a content area, submit passing Praxis II scores in any of the five content areas listed below. You must have your passing scores sent to the Alaska Department of Education & Early Development directly from Education Testing Services (ETS). Call (609) or visit to contact ETS. Submit passing Praxis II scores on the test listed under each content area in order to qualify for the endorsement. Additional grade levels may not be added to your certificate in this way. IMPORTANT INFORMATION Special Education Administrator Endorsement Special education administrator endorsements require a Institutional Recommendation showing completion of an approved special education administrative program from a regionally accredited university and verification of at least three years of employment as a certified special education teacher or school psychologist, with a teaching or special services certificate or comparable certificate issued by another state. Director of Special Education If you wish to be employed solely as the administrator or director of special education and are not eligible for a special education administrator endorsement, you must possess both a Type B certificate and a teaching certificate endorsed for special education or for a related services specialty. (This does not constitute an endorsement.) 4 AAC Please note: To be assigned as a classroom teacher in Alaska, you must have a valid teacher certificate (Initial, Professional, or Master). The Type B does not allow the holder to be a classroom teacher. If you currently hold a valid Alaska teaching certificate and are applying for a Type B certificate, you are considered an initial applicant for the Type B.

2 ADDITIONAL ENDORSEMENT APPLICATION Instructions Page 2 of 10 Praxis II Qualifying Scores Content Areas Praxis II Exam** Qualifying Score English English 5038 Content Knowledge 167 Math Math 5161 Content Knowledge 160 General Science General Science 5435 or 0435 Content Knowledge 146 French French 5174 Content Knowledge 162 German German 5183 Content Knowledge 163 * to verify that your Praxis II Exam are on file with the Teacher Certification Office **We will also accept the historical Praxis II tests that were previously accepted for adding an endorsement. Contact the Teacher Certification Office at (907) or for more information. POSITIONS HELD Special Education Administrator endorsement only: In addition to the completion of a special education administrative state-approved program, a special education administrator endorsement requires a minimum of three (3) years or three (3) FTE of employment as a certified special education teacher or school psychologist, with a teaching or special services certificate or comparable certificate issued by another state. Superintendent endorsement only: In addition to the completion of a superintendent state-approved program, a superintendent endorsement requires a minimum of five (5) years or five (5) FTE of employment as a certified teacher or school administrator in an elementary or secondary program. Of those five years, at least three years or three (3) FTE of employment must be as a certified teacher and one (1) year or one (1) FTE of employment must be as a certified administrator. FEE SCHEDULE The fee for adding endorsements is $ per endorsement Applicants for an additional endorsement must include payment in the form of a cashier s check, money order, debit card or credit card authorization (Visa, Discover or MasterCard). Fees are non-refundable. Personal checks are not accepted. If paying by credit card, complete all information in this section, including the name on the credit card and the cardholder s signature. Cashier s checks or money orders can be made payable to the Alaska Department of Education & Early Development (EED). MAIL YOUR APPLICATION The application and supporting documents must be mailed to the Teacher Certification office at the following address: Department of Education & Early Development Teacher Education and Certification 801 West 10th Street, Suite 200 PO Box Juneau, AK

3 ADDITIONAL ENDORSEMENT APPLICATION Page 3 of 10 PERSONAL INFORMATION LAST NAME FIRST NAME MIDDLE INITIAL SOCIAL SECURITY NUMBER MAILING ADDRESS CITY STATE ZIP CODE HOME PHONE NUMBER WORK PHONE NUMBER GENDER ADDRESS - - BIRTHDATE (MM-DD-YYYY) FORMER LAST NAME(S) HIGHEST EDUCATIONAL DEGREE It is the responsibility of the applicant to maintain current information, including name and mailing address, on file with the Teacher Certification office. Contact information can be updated online at https://education.alaska.gov/teachercertification/contactchange/. All name changes must be supported with a photocopy of the legal document verifying the change. REQUESTED ENDORSEMENTS Indicate for which certificate type(s) you are requesting an additional endorsement(s). INITIAL/PROFESSIONAL TEACHING TYPE B ADMINISTRATIVE TYPE C SPECIAL SERVICES List all requested endorsements, content or specialty area(s), and grade levels. A certification analyst will consider your request when analyzing your official transcripts and other documents. CONTENT AREA GRADE LEVEL(S) CONTENT AREA GRADE LEVEL(S) (SAMPLE) READING SPECIALIST K CONTENT AREA EXAMS If you are using one or more Praxis II exams to qualify for an endorsement, please provide the endorsement area, the name and number of the Praxis II exam, the date of completion, and your score. Endorsement Area Praxis II Exam Title/Number Completion Date Score

4 ADDITIONAL ENDORSEMENT APPLICATION Page 4 of 10 TRAINING If you qualify for an additional endorsement through the completion of an endorsement program or a post major or minor (with a minimum of 18 semester hours of coursework), please provide the endorsement area, the name of the university or college, and the date of completion. Indicate with a check mark that you have included your transcripts or that you have contacted the Teacher Certification Office to verify that the transcripts are on file. Also, indicate with a check mark if you have included an institutional or state recommendation to qualify for the additional endorsement area. Endorsement Area University or College Completion Date Transcripts included or on file. Recommendation Included If you have completed an endorsement program, you will need to submit a recommendation form from the university, college, or state where you completed the program. Information concerning Institutional and State Recommendations can be found on pages 5-10 of this application. POSITIONS HELD Superintendent & Special Education Administrator Endorsement Applicants Only: List the certified educational positions below that qualify you for the Superintendent or Special Education Administrator Endorsement. Provide all the information requested concerning each position. Attach an additional sheet of paper if necessary. SCHOOL YEAR(S) DAYS PER YEAR SCHOOL OR DISTRICT NAME CITY, STATE POSITION TITLE SCHOOL/DISTRICT PHONE NUMBER FULL TIME EQUIVALENCY EMPLOYMENT OUTSIDE OF ALASKA If any of the listed positions were held in a state other than Alaska, a copy of your teacher certificate from the state where the employment was completed will need to be included with your application. The out-of-state certificate must have been valid during the employment period. FEE SCHEDULE The fee per endorsement is You may pay with a cashier s check (payable to EED), money order, debit card or credit card (Visa, Discover or MasterCard). Fees are non-refundable. Personal checks are not accepted. AMOUNT / CREDIT CARD NUMBER EXPIRATION DATE (MM/YY) NAME ON CREDIT CARD Credit Card Holder s Signature Applicant s Signature

5 TEACHER CERTIFICATION APPLICATION INSTITUTE & STATE RECOMMENDATIONS Page 5 of 10 You must submit an Institutional Recommendation or a State Recommendation form with your Initial application or have one on file with teacher certification. Use only the form that applies to your situation. If you completed a university teacher preparation program, submit the Institutional Recommendation with your application. If you completed a state-approved (non-university) program, submit the State Recommendation with your application. If you have completed a teacher preparation program outside of the United States, you will need to submit a complete, orginal foreign evaluation from an approved agency. More information concerning foreign evaluations can be found at You may discard the forms that do not apply to your situation. APPLICANT DIRECTIONS: 1) Complete the APPLICANT INFORMATION section on both pages of the appropriate form. 2) Leave the remaining sections of the form blank. The university or state agency must complete all other sections. 3) Contact the university or state agency to determine who within the organization has the authority to verify the completion of a state-approved teacher preparation program. 4) If your teacher preparation program is at a university, mail or fax the form and the list of endorsements to the Dean or Certification Officer within the university where you completed your program or where you are currently enrolled. -OR- If your teacher preparation program was completed in a state-approved (non-university) program, mail or fax the State Recommendation form and the list of endorsements to the state official who has the authority to verify your completion of a state-approved alternate route to teacher certification. UNIVERSITY OR STATE AGENCY DIRECTIONS: 1) Provide all of the requested information in the following sections of the Institutional Recommendation or State Recommendation provided by the applicant: a. PROGRAM STANDARDS b. DEGREE INFORMATION c. ENDORSEMENT INFORMATION d. SIGNATURE e. STAMP OR SEAL 2) If a Stamp or Seal is not available, complete all information using blue ink. 3) Please return the original Institutional Recommendation or State Recommendation form to the applicant. Photocopies/faxes will not be accepted. If you have any questions concerning the completion of the Institutional Recommendation or State Recommendation form, please for assistance.

6 ENDORSEMENT LIST Page 6 of 10 TEACHING ART ART MUSIC MUSIC CHORAL MUSIC INSTRUMENTAL THEATER ARTS VISUAL ARTS EARLY CHILDHOOD EARLY CHILDHOOD EDUCATION SPECIAL ED EARLY CHILDHOOD LANGUAGES BILINGUAL EDUCATION ENGLISH AS A FOREIGN LANGUAGE ENGLISH AS A SECOND LANGUAGE CHINESE JAPANESE FRENCH GERMAN ITALIAN LATIN RUSSIAN SPANISH SPECIAL EDUCATION SPECIAL EDUCATION PHYSICALLY HANDICAPPED VISUALLY HANDICAPPED HEARING IMPAIRED LEARNING DISABILITY EMOTIONALLY DISTURBED COGNITIVELY IMPAIRED COMMUNICATION DISORDERS MULTI-HANDICAPPED RESOURCE ADAPTIVE P.E. SPECIAL ED EARLY CHILDHOOD READING READING READING SPECIALIST REMEDIAL READING SPECIAL SERVICES SCHOOL COUNSELOR GUIDANCE AND COUNSELING SCHOOL LIBRARIAN LIBRARY SCIENCE MEDIA SPECIALIST SCHOOL NURSE SCHOOL PSYCHOLOGIST SCHOOL PSYCHOMETRIST EDUCATIONAL DIAGNOSTICIAN SPEECH/LANGUAGE PATHOLOGIST SPEECH PATHOLOGY AUDIOLOGY SPEECH AND HEARING SPEECH THERAPY OCCUPATIONAL THERAPY ORIENTATION AND MOBILITY PHYSICAL THERAPY ALASKA NATIVE STUDIES ALASKA NATIVE STUDIES ALEUT LANGUAGE/CULTURE ATHABASCAN LANGUAGE/CULTURE HAIDA LANGUAGE/CULTURE INUPIAQ LANGUAGE/CULTURE TLINGIT LANGUAGE/CULTURE YUPIK LANGUAGE/CULTURE EDUCATIONAL TECHNOLOGY EDUCATIONAL TECHNOLOGY LANGUAGE ARTS ENGLISH LANGUAGE ARTS ENGLISH/LANGUAGE ARTS LITERATURE ENGLISH LITERATURE RUSSIAN LITERATURE COMMUNICATION SPEECH JOURNALISM HUMANITIES SCIENCE SCIENCE AGRICULTURE BIOLOGY CHEMISTRY EARTH SCIENCE ENVIRONMENTAL SCIENCE GENERAL SCIENCE GEOLOGY HEALTH LIFE SCIENCE NATURAL SCIENCE PHYSICAL SCIENCE PHYSICS ZOOLOGY ADMINISTRATION PRINCIPAL SUPERINTENDENT CURRICULUM ADMINISTRATION DIRECTOR OF SPECIAL EDUCATION DIRECTOR OF VOCATIONAL EDUCATION Important Note: Other grade level combinations are available. Grade levels reflect the range of grades that your preparation program is approved to prepare you to teach. BUSINESS BUSINESS EDUCATION BUSINESS COMMUNICATION MARKETING ELEMENTARY EDUCATION ELEMENTARY EDUCATION MATHEMATICS MATHEMATICS MIDDLE SCHOOL MIDDLE SCHOOL PHYSICAL EDUCATION PHYSICAL EDUCATION COACHING KINESIOLOGY SPECIAL ED ADAPTIVE PE SOCIAL STUDIES SOCIAL STUDIES ANTHROPOLOGY ECONOMICS GOVERNMENT HISTORY POLITICAL SCIENCE SOCIAL SCIENCE SOCIOLOGY U.S. HISTORY WORLD HISTORY RUSSIAN HISTORY GEOGRAPHY PSYCHOLOGY VOCATIONAL EDUCATION VOCATIONAL EDUCATION TECHNOLOGY EDUCATION FAMILY/CONSUMER SCIENCE INDUSTRIAL ARTS INDUSTRIAL TECHNOLOGY GRADE LEVELS PRE K GRADE 3 GRADES K-3 GRADES K-5 GRADES K-8 GRADES K-12 GRADES 5-8 GRADES 5-12 GRADES 7-10 GRADES 7-12 GRADES 9-12

7 INSTITUTIONAL RECOMMENDATION Page 7 of 10 This form should only be used if a standard, university teacher preparation program has been completed. APPLICANT INFORMATION This section is to be completed by the applicant before submission to the college/university. All other sections are to be completed by the preparing institution s school of education. LAST NAME FIRST NAME MIDDLE INITIAL SOCIAL SECURITY NUMBER MAILING ADDRESS CITY STATE ZIP CODE The remaining sections are to be completed by the preparing institution s school of education, not the applicant. COLLEGE/UNIVERSITY INFORMATION Alaska certifies teachers who have completed approved university teacher preparation programs or state-approved teacher preparation programs. Please sign this form only if the candidate has completed a university teacher preparation program, which meets your state s standards for teacher certification. All endorsements listed on this form must be based only on the completion of approved university programs. Your state s requirements for certification and endorsements may vary from your approved program. Do not sign this form if the applicant has only met your state s requirements for certification or endorsement, but has not completed the approved program. Deviations from your institution s approved program may be acceptable, but require a formal rationale on university letterhead along with supporting documentation. PROGRAM STANDARDS Specify which standards the approved program meets: DEGREE INFORMATION Please specify the type of approved program completed: CAEP/NCATE B.ED MA ED.D STATE STANDARDS FROM AN NCATE PARTNERSHIP STATE BS MS PH.D STATE STANDARDS FROM AN NON-NCATE PARTNERSHIP STATE BA MAT NO DEGREE/CERTIFICATION ONLY NASDTEC M.ED OTHER OTHER ENDORSEMENT INFORMATION Please refer to the List of Endorsements before entering any information. All endorsements listed below must be included on the attached list of endorsements. If the list of endorsements is not provided to you by the applicant, please contact Teacher Certification for available endorsements. CONTENT AREA GRADE LEVEL(S) YEAR OF COMPLETION CONTENT AREA GRADE LEVEL(S) YEAR OF COMPLETION By signing below, I verify that the applicant has met all institutional requirements for the approved programs (as defined above) in the areas listed above. In addition, I verify that the applicant maintained ethical standards required of an educator while attending the institution. SIGNATURE OF DEAN OR CERTIFYING OFFICIAL PRINTED NAME TITLE DATE -CONTINUED ON NEXT PAGE- This form should only be used if a standard, university teacher preparation program has been completed. (Additional Endorsement) 7/1/2015

8 INSTITUTIONAL RECOMMENDATION Page 8 of 10 APPLICANT INFORMATION LAST NAME FIRST NAME MIDDLE INITIAL SOCIAL SECURITY NUMBER SIGNATURE NAME OF INSTITUTION CITY STATE REGIONAL ACCREDITING ASSOCIATION SIGNATURE OF DEAN OR CERTIFYING OFFICIAL PRINTED NAME TITLE DATE PHONE NUMBER FAX NUMBER ADDRESS STAMP OR SEAL COLLEGE STAMP OR SEAL IF NOT AVAILABLE, FORM MUST BE SIGNED IN BLUE INK Please return the Institutional Recommendation to the applicant. Photocopies/faxes will not be accepted. (Additional Endorsement) 7/1/2015

9 STATE RECOMMENDATION Page 9 of 10 Do not use this form if you have completed a teacher preparation program through a university or college. This form should be completed only if the individual has completed an approved alternate program to certification. APPLICANT INFORMATION This section is to be completed by the applicant before submission to the state department of education. All other sections are to be completed by the preparing state s commissioner of education. LAST NAME FIRST NAME MIDDLE INITIAL SOCIAL SECURITY NUMBER MAILING ADDRESS CITY STATE ZIP CODE The remaining sections are to be completed by the preparing state s chief state school officer or certifying official, not the applicant. STATE INFORMATION Alaska certifies teachers who have completed approved university teacher preparation programs or state-approved teacher preparation programs. Please sign this form only if the candidate has completed a state-approved teacher preparation program which meets your state s standards for teacher certification. Please do not sign this form if the alternate program was based solely on transcript analysis and testing. All endorsements listed on this form must be based only on the completion of state-approved programs. Do not include endorsements based only on testing alone. If the candidate has completed an approved university teacher preparation program, the preparing university must complete an institutional recommendation, not this state recommendation. PROGRAM STANDARDS Specify which standards the state-approved program meets: DEGREE INFORMATION Please specify the type of state-approved program completed: CAEP/NCATE B.ED MA ED.D NASDTEC BS MS PH.D STATE BA MAT NO DEGREE/CERTIFICATION ONLY OTHER: M.ED OTHER PLEASE SELECT ONE OF THE FOLLOWING: COMPLETED STUDENT TEACHING COMPLETED MENTORED/SUPERVISED TEACHING REQUIREMENT WAIVED FOR SATISFACTORY EXPERIENCE ENDORSEMENT INFORMATION This state verifies that the applicant has met all state requirements for the approved state approved program(s) in the areas listed below. Do not include endorsements based only on testing. CONTENT AREA GRADE LEVEL(S) YEAR OF COMPLETION CONTENT AREA GRADE LEVEL(S) YEAR OF COMPLETION By signing below, I verify that the applicant has met all l requirements for the state approved programs (as defined above) in the areas listed. In addition, I verify that the applicant maintained ethical standards required of an educator while attending the institution. CERTIFYING OFFICIAL PRINTED NAME TITLE DATE -CONTINUED ON NEXT PAGE- (Additional Endorsement) 7/1/2015

10 STATE RECOMMENDATION Page 10 of 10 Do not use this form if you have completed a teacher preparation program through a university or college. This form should be completed only if the individual has completed an approved alternate program to certification. APPLICANT INFORMATION LAST NAME FIRST NAME MIDDLE INITIAL SOCIAL SECURITY NUMBER SIGNATURE STATE SIGNATURE OF STATE OFFICIAL PRINTED NAME TITLE DATE PHONE NUMBER FAX NUMBER ADDRESS STAMP OR SEAL STATE STAMP OR SEAL (IF AVAILABLE). IF NOT AVAILABLE, FORM MUST BE SIGNED IN BLUE INK Please return the State Recommendation to the applicant. Photocopies/faxes will not be accepted. (Additional Endorsement) 7/1/2015

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