Applicationproceduresfor: CertificationOffice WayneStateUniversity 469Education Detroit,Michigan48202 (313)577"1788 (313)577"4944FAX ProfessionalEducationCertificate OccupationalEducationCertificate RenewaloftheProvisionalTeachingCertificate RenewaloftheInterimOccupationalCertificate AdditionalEndorsements Completetheapplicationbycheckingtheappropriatebox(es).Besuretosignanddatetheapplication. AttachcopiesofALLTEACHINGCERTIFICATES(currentand/orexpired). AttachacurrentandcompleteWSUUnofficialorPipelinecopyofyourtranscript.DONOTREQUESTTHATOFFICIALOR UNOFFICIAL WSU TRANSCRIPTS BE SENT BY THE RECORDS OFFICE TO THE TEACHER CERTIFICATION OFFICE; THIS MAY DELAYTHEPROCESSINGOFYOURAPPLICATION. ProfessionalandOccupationalEducationCertificates RequirementsfortheProfessionalEducationCertificate: YoumusthavecompletedeighteensemesterhoursinaplannedprogramsincetheissuanceoftheInitialProvisional CertificateORhavecompletedaMaster sdegreeinanareaappropriatetok"12educationorsupportservices(atany time).youmusthavecompletedthreeyearsofteachinginthelevelandsubjectsforwhichyouarecertifiedtoteach. Allcurrentrequirementsforcoursesintheteachingofreadingmustbecomplete.(SeeDirections"Page3) RequirementsfortheOccupationalCertificate: If you have both a Provisional Certificate and an Interim Occupational Certificate (IOC) (formerly the Temporary VocationalAuthorization(TVA)): Nine of the required eighteen semester hours in a planned program must be vocational education related OR you musthavecompleteda Master sdegreeinanarea appropriatetok"12educationorsupportservices(atanytime). Youmusthavecompletedthreeyearsofsatisfactoryteachinginthelevelandsubjectsforwhichyouarecertifiedto teach. IfyouhaveanInterimOccupationalCertificateonly: Youmusthavecompletedninecredithourswhicharevocationaleducationrelated.Youmusthavecompletedthree yearsofsatisfactoryteachinginthelevelandsubjectsforwhichyouarecertifiedtoteach. Transcripts: Attach unofficial transcripts from the institution that recommended you for the Initial Provisional Certificate. These transcriptsareusedtoverifythatrequiredcoursesintheteachingofreadingarecomplete.ifcreditfromanother institution is being used to fulfill requirements for the Professional and/or Occupational Certificate (courses taken aftertheissuanceoftheinitialprovisionalteachingcertificate),officialtranscriptsfromthatinstitutionmustbesent directlytothecertificationoffice(seeaddressonapplication"page1).asageneralrule,morethanhalfofthecredit hoursusedfortheprofessionaloroccupationaleducationcertificatemustbecompletedatwaynestateuniversity. WorkExperience: ProvidenameandaddressofallschooldistrictswhereyouhaveworkedsincetheissuanceoftheInitialProvisional and/or Interim Occupational Teaching Certificate. The school district(s) will be contacted to verify your satisfactory workexperience. Application for Professional/Occupational, Renewal, Endorsement Directions Page 1
RenewaloftheProvisionalorInterimOccupationalCertificate IfrequirementsfortheProfessionalorOccupationalEducationCertificatehavenotbeenmet,youmaywishtoapply forarenewalofyourprovisionalorinterimoccupationcertificate. RequirementsfortheFirstRenewaloftheProvisionalCertificate: Youmusthavecompletednine(oftherequiredeighteen)semesterhoursinaplannedprogramsincetheissuanceof theinitialprovisionalcertificate OR havecompletedamaster sdegreeinanareaappropriatetok"12educationor supportservices(atanytime). RequirementsfortheSecondRenewaloftheProvisionalCertificate: YoumusthavecompletedeighteensemesterhoursinaplannedprogramsincetheissuanceoftheInitialProvisional CertificateORhavecompletedaMaster sdegreeinanareaappropriatetok"12educationorsupportservices(atany time). All current requirements for courses in the teaching of reading will be reviewed for completeness. (See Directions"Page3) RequirementsfortheFirstRenewaloftheInterimOccupationalCertificate: YoumusthavecompletedninesemesterhoursinaplannedprogramsincetheissuanceoftheInterimOccupational Certificate(IfyouhaveanIOC,onlythesesemesterhoursmust bevocationaleducationrelated.)or,youmayhave completedamaster sdegreeinanareaappropriatetok"12educationorsupportservices(atanytime). RequirementsfortheSecondRenewaloftheInterimOccupationalCertificate: You must have both a Provisional and an Interim Occupational Certificate. A Second Renewal of the Interim Occupational Certificate is not available if you have the Interim Occupational Certificate only. You must have completedeighteensemesterhoursinaplannedprogramsincetheissuanceoftheinterimoccupationcertificateor havecompletedamaster sdegreeinanareaappropriatetok"12educationorsupportservices(atanytime). Transcripts: IfcreditfromanotherinstitutionisbeingusedtofulfillrequirementsforafirstorsecondrenewaloftheProvisional Certificate(coursestakenaftertheissuanceoftheInitialProvisionalTeachingCertificate),officialtranscriptsfromthat institutionmustbesentdirectlytothecertificationoffice(seeaddressonapplication"page1).asageneralrule, morethanhalfofthecredithoursusedfortherenewalmustbecompletedatwaynestateuniversity. Endorsements: ProvideacopyofthesignedPlanofWorkfortheendorsement.IfchangestothePlanofWorkwereapprovedbyyour advisor,youmustprovideacopyofthesechanges. GuidanceandCounselingEndorsement ContacttheCounselorEducationDepartmentat(313)577"1613tosubmitthe ApplicationforRecommendationfor School Counselor Credential form. This form must be approved by the program advisor and submitted to the CertificationOfficeforinclusioninyourapplication. LibraryMediaEndorsement ContacttheLibrary&InformationScienceProgramat(313)577"1825torequesta LetterofCompletion statingthat youhavemetthecourserequirementsforthelibrarymediaendorsement. Provide a copy of the Michigan Test for Teacher Certification (MTTC) for the endorsement if applicable. Some endorsementsrequireotherverificationofexperienceorcompetencies(thisisreflectedonyourplanofwork).ask youradvisorifyouhavequestionsaboutendorsementrequirements. Note:MTTCSubjectexaminationscoresarevalidforfiveyears. Application for Professional/Occupational, Renewal, Endorsement Directions Page 2
Transcripts: If credit from another institution is being used to fulfill requirements for the endorsement (credit which does not appear on the WSU transcript), official transcripts from that institution MUST be sent directly to the Certification Office (see address on Application"Page 1).As a general rule, more than half of the credit hours used for the endorsementmustbecompletedatwaynestateuniversity. Forallapplications: Applicationreviewwillcommencewhenallrequiredmaterialshavebeenreceived. Ifyournamehaschanged,pleasecontacttheWSURecordsOfficeat(313)577"3531tochangeyourname. *Requiredcoursesintheteachingofreading TheMichiganDepartmentofEducationrequiresthattherecipientofanyProfessionalEducationCertificatemusthave completedthecurrentrequirementsfortheteachingofreading.teacherswithelementaryteachingcertificatesmust have completed at least six semester hours; teachers with secondary teaching certificates must have completed at least three semester hours. At Wayne State University, this is interpreted to mean that all recipients of the ProfessionalEducationCertificatemusthavecompletedRLL4430,TeachingReadingII:ComprehensionPreprimary"8 or RLL 6120, Developmental Reading I: Comprehension Preprimary"8 for elementary; RLL 4431, Teaching Reading in MiddleandSecondarySubjectAreasorRLL6121,TeachingReadingintheContentAreas:Grades6"12forsecondary (orequivalents).theadditionalthreesemesterhoursrequiredfortheelementarycertifiedteachermaybeoneofthe following: ELE3320,TeachingReadingI:EmergentLiteracy ELE6310,ReadingInstruction:Preprimary"9 ELE6320,ReadingCurriculum:Preprimary"9 ELE6340,TeachingReadinginEarlyChildhoodEducation RLL7100,EmergentLiteracy RLL7300,LiteracyAcrosstheCurriculum BeginningJuly1,2009allcandidatesfortheProfessionalEducationCertificatemusthavecompletedathreesemester hour course in the diagnosis and remediation of reading disabilities and differentiated instruction. At Wayne State University the courses which meet this requirement are RLL 6801, Assessment and Differentiated Instruction for DiverseLearnersPre"K"8forelementaryandRLL6802AssessmentandDifferentiatedInstructionforDiverseLearners 6"12forsecondary. ProcessingTimeline A preliminary audit of your application will commence after all necessary documents have been received. If you areenrolledinclassesduringthesemesterduringwhichyouplantocompleterequirements,afinalauditwill becompletedafterallgradeshavebeenposted. Processingistypicallycompletedwithintwoweeksafterreceiptofalldocumentation. Youwillreceiveatemporarycertificationletter(90"DayLetter)statingthelevelandareaofcertificationforwhich you will be recommended to the Michigan Department of Education (MDE). This letter can be used for employmentpurposesasverificationthatallrequirementsfortheteachingcertificateorendorsementhavebeen met.withinthevalidityofthisletter,wsuwillsendarecommendationtomdeforyourcertificateandmdewill send a request for the requisite fee (see below). Once the fee has been paid, MDE will mail your teaching certificatetoyou. CertificationFees SubjecttoChange TypeofCertificate RequiredFee ProfessionalEducationTeachingCertificate $160.00 OccupationalEducationTeachingCertificate $160.00 ProfessionalEducationTeachingCertificate $160.00 RenewalofProvisionalorInterimOccupationalCertificate $100.00 ProfessionalEducationTeachingCertificate $160.00 AdditionalEndorsement $50.00 Application for Professional/Occupational, Renewal, Endorsement Directions Page 3 DONOTATTACHFEE YouwillbebilledbytheMichigan DepartmentofEducationupontheir receiptofwaynestateuniversity s recommendationforcertification.
Application for Michigan Professional and/or Occupational Education Certificate, Renewals, and Endorsements Pleasecheckthecertificateorendorsementforwhichyouareapplying: ProfessionalEducationCertificate OccupationalEducationCertificate RenewaloftheProvisionalCertificate FirstRenewal SecondRenewal RenewaloftheInterimOccupationalCertificate FirstRenewal SecondRenewal NewEndorsement:SpecifySubject LevelofCurrentTeachingCertificate:Attachcopiesofallteachingcertificates,currentandexpired: ElementarySecondary CertificationOffice WayneStateUniversity 469Education Detroit,Michigan48202 (313)577"1788 (313)577"4944FAX Pleaseprintortypeyournameasyouwantittoappearonyourcertificate: Name: Last FirstMiddle Maiden Note:Ifyournamehaschanged,pleasecontacttheWayneStateUniversityRecordsOffice (313)577"3531tochangeyournameorattachdocumentationreflectingnamechange. HomeAddress: Number Street City StateZipCode TelephoneNumber: " " Birthdate: / / Gender: Male (AreaCode) Female E"mailAddress: WayneStateUniversityI.D.#: SocialSecurityNumber: " " TheSocialSecuritynumberisrequiredbythe StateofMichiganforprocessingthecertificate. Bachelor sdegreecompleted(institution): DegreeDate: InitialProvisionalCertificateRecommended(Institution): Date: Master sdegreecompleted(institution): DegreeDate: OtherAdvancedDegreeCompleted(Institution): DegreeDate: OfficialTranscriptsarerequiredifcoursescompletedatotherinstitutionsarebeingusedtofulfillrequirementsfor thiscertificateorendorsement.donotrequestofficialwaynestateuniversitytranscripts.providea Pipeline transcriptoracopyofyourunofficialwsutranscript. Ihaverequestedofficialtranscriptsfromthefollowinginstitution(s)besentdirectlytotheTeacherCertification Office: Application for Professional/Occupational, Renewal, Endorsement Application Page 1
Complete this section only if you are applying for the Professional Teaching Certificate. Provide employersforteachingexperiencesincetheissuanceoftheinitialprovisionalteachingcertificate. NameofSchoolandDistrict: Address: Number Street City StateZipCode TelephoneNumber: " " Dates: (AreaCode) FromTo TypeofEmployment: Substitute Contract NameofSchoolandDistrict: Address: Number Street City StateZipCode TelephoneNumber: " " Dates: (AreaCode) FromTo TypeofEmployment: Substitute Contract NameofSchoolandDistrict: Address: Number Street City StateZipCode TelephoneNumber: " " Dates: (AreaCode) FromTo TypeofEmployment: Substitute Contract ConvictionandRevocationInformation Please read the following statement and answer the three questions listed below (completion of this section is required). TheMichiganStateBoardofEducationmayrefusetograntacertificatetoanapplicantconvicted,asanadult,ofan actofimmoralconductcontributingtothedelinquencyofachild,orafelonyconviction. 1. Haveyoueverbeenconvictedofafelony? yes no 2. Haveyoueverbeenconvictedofamisdemeanor? yes no 3. Haveyoueverhadaprofessionallicenseorcertification, denied,suspended(forcause)orrevoked? yes no Ifyouanswer yes toanyofthequestionsregardingconvictionsandrevocations,attachacurrent(within6monthsofthe application date) Statewide Criminal History Check from the Internet Criminal History Access Tool (ICHAT) website: http:// apps.michigan.gov/ichat/andanarrativedescribingthecircumstancessurroundingtheconvictionoraction.note:insome cases you may be required to submit certified copies of all documents relative to the conviction or action, including the JudgmentofSentencefromthecourt(s)inwhichthematterwasadjudicated. Application for Professional/Occupational, Renewal, Endorsement Application Page 2 Pleasecontinueonaseparatesheetif additionalspaceisneeded.
Race:Pleaseidentifyyourracial/ethnicbackground(checkoneboxonly). Evenifyouaremultiracial,pleaseselectoneboxbyindicatingeithertheraceyouidentifywiththemostorthe racewithwhichyouareusuallyassociatedinthecommunity. AmericanIndian,Eskimo,orAleut AsianorPacificIslander Black(non"Hispanic) Hispanic White(non"Hispanic) Areyoumultiracial?Forpurposesofthisquestion,youaremultiracialifyouhaveparentsfrommorethanoneof thebroadracecategorieslistedabove,orifyourparentsregardthemselvesasbeingmultiracial. Yes No Acknowledgment&Consent I affirm that the information provided in this application is true, complete, and accurate, and I hereby grant permissionforschoolofficialstoreleaseinformationconcerningmydegreeandcertificationtopotentialemployers andcertificationagencies. Applicant ssignature: Date: PublicAct339of1998authorizescollectionoffeesforcertificationinMichiganinaccordancewiththefeeschedule.Inaddition, the Administrative Rules Governing Certification requires that an application for certification must be made no later than five yearsaftercreditrequirementshavebeenmet.paymentofthefeeisacertificationrequirementthatmustbemetpriortothe issuanceofyourmichigancertificate. """"""""""""""""""""""DONOTWRITEBELOWTHISLINE FOROFFICEUSEONLY""""""""""""""""""""""" CriminalHistoryQuestions: OK RequiresReview Reviewed(Date): Professional/OccupationalorRenewal Master sdegree HoursorMaster sdegree: hoursok Other WorkExperience(Professional/Occupational): Application for Professional/Occupational, Renewal, Endorsement Application Page 3 OK ReadingRequirement(SecondRenewalorProfessional): ThreeCreditHoursOK(Secondary) SixCreditHoursOK(Elementary) ThreeAdditionalCreditHours(requiredafterJuly1,2009) Endorsement CurrentMichiganTeachingCertificate(Requiredforendorsement) SignedEndorsementPlanofWork EndorsementHours MTTCforEndorsementor NA: Date: EvaluatorInitials: Approved: Approved: Approved: Notes: