Certificcation Form

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OutofState_Application_3_161.pdf

II.

STATE OF LOUISIANA

DEPARTMENT OF EDUCATION POST OFFICE BOX 94064, BATON ROUGE, LOUISIANA 70804-9064

http://www.louisianabelieves.com

OUT-OF-STATE CERTIFICATION APPLICATION PACKET

Dear Prospective Louisiana Educator:

We are pleased that you are interested in obtaining a Louisiana teaching certificate. The instructions outlined in this application packet are designed to facilitate the process of obtaining your Louisiana certificate.

Louisiana Certification

Louisiana offers two types of teaching certificates to applicants holding a standard out-of-state teaching certificate. Both are valid certificates and make the holder eligible for a teaching assignment in a Louisiana classroom. The certificate that is issued to the applicant depends on whether or not the applicant has met Louisiana’s Praxis and/or NTE testing requirements.

1. Level 1 Professional Certificate is a standard, three-year Louisiana teaching certificate that

authorizes certification for the levels or subjects available in Louisiana and that are consistent with those currently on the applicant’s Out-of-State teaching certificate. A Level 1 certificate is issued to individuals who have completed the Louisiana PRAXIS and/or NTE requirements.

2. Out-of-State Certificate is a standard, three-year, non-renewable Louisiana teaching certificate that authorizes certification for the levels or subjects available in Louisiana and that are consistent with those currently on the applicant’s Out-of-State teaching certificate. An Out-of- State (OS) certificate is issued to individuals who have not met Louisiana’s PRAXIS and/or NTE requirements.

Exemption from PRAXIS and/or NTE Requirements

An applicant who holds a valid, standard Out-of-State teaching certificate, has at least three years of successful teaching experience in another state as verified by the previous out-of-state school district/county’s satisfactory annual evaluation results, and teaches on an OS certificate for one (1) year in a Louisiana approved public or approved nonpublic school system shall not have to complete the required examinations or to submit examination scores from any examination previously taken in another state as prerequisite to the granting of a Level 1 certificate in Louisiana, provided that:

a. The teacher meets all other requirements for a Louisiana certificate as required by law or board

policy. b. The local superintendent or his designee of the public school system employing the teacher has

recommended the teacher for employment for the following school year and has requested that the teacher be granted a valid Louisiana teaching certificate.

Upon meeting conditions (a) and (b), the individual holding the Out-of-State certificate may

apply through his/her school district for a professional level certificate.

“An Equal Opportunity Employer” Revised 6/12/15

Eligibility for Teaching Area(s) on a Louisiana Certificate

The teaching areas designated on the certificate are based upon verification of the completion of an out- of-state teacher preparation program that included student teaching, an internship, or three years of successful teaching experience in the certification area.

If you have not taught as a regular teacher within the past five years in an elementary or secondary school, you are required to complete six semester credits related to the teaching field(s) from a regionally accredited college/university. The credits must be earned during the five-year period immediately preceding the date of application. A candidate who has not taught in five years may be issued a one-year non-renewable (OS1) certificate while he/she completes six semester hours required for the issuance of a three-year non-renewable (OS) certificate.

If an alternate program was completed, then the attached Teacher Preparation/Certification Status Form must be submitted with the application.

Application Process

All information should be mailed to: Division of Certification, Preparation, & Recruitment, LA Department of Education, P. O. Box 94064, Baton Rouge, LA, 70804-9064.

The following items are required as part of a complete application packet: 1. Out-of-State Application for Teaching Certificate with all information provided 2. Official transcripts (copies not acceptable). Please indicate if the transcripts are being mailed

separately from this application by the institution directly to the LA Department of Education. 3. Copy of the teaching certificate you currently hold from another state (if one was issued), or

letter from that state’s Department of Education verifying eligibility for a certificate in the area(s) of program completion

4. Teacher Preparation/Certification Status form to be completed by a Dean of the College of Education, the Director of the Alternate Certification Program or the Out-of-State Department of Education and attached to the application and other supporting documents.

5. School Experience Verification form signed by the appropriate employing authority is required for individuals who did not complete student teaching or an internship. The form is submitted to provide evidence of three years of successful teaching experience in the area of certification being requested in lieu of student teaching.

6. Professional Conduct form with all questions answered and signed and dated by the applicant; 7. Original Praxis/NTE score report (if applicable) and 8. $50.00 non-refundable certification processing fee (check or money order, payable to the

Louisiana Department of Education)

All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials is received, the application packet will be evaluated for purposes of issuing a Louisiana teaching certificate. We regret that we are unable to process requests that are missing any of the required materials; incomplete applications will be returned to the applicant identifying needed documentation.

Additional Information

Employment: For employment opportunities contact the personnel directors at the state’s 68 public school districts concerning employment opportunities. A Louisiana Teacher Certification and Recruitment website can be accessed at www.teachlouisiana.net.

♦ Contact Information: All questions regarding certification requirements or the certification process can be answered by contacting the Louisiana Department of Education’s Constituent Service Center at https://www.louisianabelieves.com/resources/ask-ldoe. Fill in your contact information in the fields provided. Scroll to the “subject” drop down list and click on “Educator Certification” to enter your question. Responses are provided to the email address or phone number you submit.

♦ Effective June 16, 2010: The Division of Certification, Preparation, & Recruitment will no longer

print and mail Louisiana teaching and/or ancillary certificates. You may verify issuance and print

a copy of the certificate via Teach Louisiana at https://www.teachlouisiana.net by clicking "Verify Teaching Certificate."

UPDATE FOR CERTIFICATION VISITORS

♦ A certification receptionist is not on duty in the Certification Office located in the Claiborne Building. You may drop your certification applications in the drop box located at the security desk on the first floor. Please place your application in a sealed envelope/folder before placing it in the drop box.

♦ All applications will be date stamped and processed in the order in which they are received.

♦ The status of a certification application can be verified daily by visiting www.teachlouisiana.net. Double click on the “Certification” tab and then on the link “Status of a Certification Application.”

Certification Questions?

Certification questions can be addressed through one of the following: ♦ Contacting your employing school district’s Human Resources Office. ♦ Visiting www.teachlouisiana.net – Click on the “Certification” tab at the top of the home

page. ♦ Contacting the Louisiana Department of Education’s Constituent Service Center at

https://www.louisianabelieves.com/resources/ask-ldoe.

THANK YOU!

LOUISIANA DEPARTMENT OF EDUCATION Certification, Preparation, & Recruitment

Out-of-State Application for Teaching Certificate

PLEASE TYPE OR PRINT IN INK Please Check One: Three-Year OS _ One-Year OS1 Are you a Veteran: Yes No Are you a spouse of a Veteran: _ Yes No

Social Security No: - - Date of Birth: / /

Name: (First) (Middle) (Maiden) (Married)

Address: (Street) (City) (State) (Zip Code)

Phone: Home: ( ) Work: ( )

Email Address:

EDUCATION PROGRAM TYPE COMPLETED: Undergraduate Teacher Preparation Program Alternate Post Baccalaureate Program

EDUCATIONAL QUALIFICATIONS

Degree(s) Earned Institution(s) Date Degree(s) Earned

DETAILS OF TEACHING EXPERIENCE (attach additional pages as needed)

Name(s) of School(s)

School Year(s)—Give Dates

Elem. Grade(s), High School Subject(s) Taught, or Supervisory/Admin. Service

NOTE: If you have not taught as a regular teacher within the past five years in an elementary or secondary school, you are required to complete six semester credits related to the teaching field(s) from a regionally accredited college/university. The credits must be earned during the five- year period immediately preceding the date of application. A candidate who has not taught in five years may be issued a one-year non- renewable (OS1) certificate while he/she completes six semester hours required for the issuance of a three-year non-renewable (OS) certificate.

PRAXIS scores to be reported directly by ETS: Yes No

Transcripts being mailed by the institution directly to the LA Department of Education _Yes No

I certify that the information and documentation contained in my application required for certification in Louisiana are true and accurate to the best of my information, knowledge, and belief, and hereby authorize and direct the producer of any test I have taken as required by law and all college and/or university officials and all former employers to release information regarding my scores, grades, or employment to the Louisiana Department of Education upon its request, for the purpose of verifying the information and documentation contained in this application and packet to determine my eligibility for certification in Louisiana.

Signature of Applicant: Signature of Louisiana Employing Authority:

Date: _ School System: _

To be used by Certification Office Only: NASDTEC Clearinghouse Search: Yes

No_ Supervisor: Date:

Teacher Preparation/Certification Status Form

A Louisiana Out-of-State Teaching Certificate

will NOT be issued if this form is not submitted with the OS application and other

supporting documents.

Original signatures are required on this form. Copies are not acceptable.

Applicant:

Name: (First) (Middle) (Last)

Date of Birth: / /

Social Security Number: - - E-Mail Address:

Mailing Address:

(Street) (City) (State) (Zip)

I hereby permit the release of this information concerning my certificate(s) status to the Louisiana Department of Education.

Signature of Applicant Date 1. Did this applicant complete a traditional/standard education program that included student teaching/internship? ____Yes or No__ _

2. Did this applicant complete an alternative certification program that included an internship? Yes or No If you answered “no” please explain below what requirements were met in lieu of the internship. _ ______________

3. Was the applicant eligible for certification in your state at the completion of his/her traditional or alternate teacher preparation program? Yes or No If yes, what type of license and in what subject areas and grade levels?

4. Are there any deficiencies for full certification in your state? Yes or No If yes, please list the deficiencies:

College/University/Alternate Program/District/Agency Completing this form:

Address:

Telephone Number: ( )

E-mail Address:

Signature:

Title: Date:

By signing this form, I attest that the above information is true and accurate to the best of my knowledge.

LOUISIANA DEPARTMENT OF EDUCATION Certification, Preparation, & Recruitment

EXPERIENCE VERIFICATION FORM

PLEASE TYPE OR PRINT IN INK

Louisiana Certificate Type/Number: Social Security Number: - -

Name: Date of Birth: / / (First) (Middle) (Maiden) (Married)

Address: Home Phone #: ( _)

(Street) (City/State) (Zip Code)

PARISH/ DISTRICT/ COUNTY

NAME OF SCHOOL

Type of School Grade

Level(s) Taught

Subject(

s) Taught

School Year(s) Taught (Example: 2012-2013,

etc.)

POSITION (teacher,

principal, etc.) Public School

Private School

-

-

-

-

-

1 Higher Request: If this form is being submitted for a higher level certificate, it must be submitted directly from the Louisiana employing school system.

2 Out-of-State Exclusion: I certify that the experience as listed above was successful, complete, and correct according to the

official records on file in the Louisiana approved public or approve nonpublic school system providing this verification of employment. The above individual will be re-employed by this system for the next school year in accordance with the out-of- state certification policy. This verification must be sent from an employing or previously employing school system.

TO THE BEST OF MY KNOWLEDGE, THE EXPERIENCE CORRECTLY LISTED ABOVE WAS SUCCESSFUL.

ORIGINAL SIGNATURE OF EMPLOYING AUTHORITY

TITLE AND DISTRICT OF EMPLOYING AUTHORITY

ORIGINAL SIGNATURE OF APPLICANT DATE

LOUISIANA DEPARTMENT OF EDUCATION CERTIFICATION, PREPARATION, & RECRUITMENT

PLEASE TYPE OR PRINT IN INK PROFESSIONAL CONDUCT FORM (All questions must be answered)

NAME OF APPLICANT: (Including, First, Middle, and Married)

Social Security Number:

- -

ADDRESS: DATE OF BIRTH:

Each Question must be answered: Please Check

YES NO

1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? If YES, in which state?_

2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action pending? If YES, in which state?_

3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no contest), even if expunged or adjudication was withheld?

If yes, please provide the following information:

Date of Conviction:

State of Conviction: _ Court Jurisdiction of Conviction: _

4. Have you ever been convicted of a misdemeanor offense that involves any of the following:

a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child.

b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law.

5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4?

If you answered “YES” to any questions, #1 through #5, you must provide bold certified true copies of all documents, proceedings, and records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet.

I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate.

SIGNATURE OF APPLICANT: DATE:

LOUISIANA REQUIREMENTS—PRAXIS EXAMS and SCORES

Log in to http://www.ets.org/praxis/la to ensure you are registering and taking the appropriate test(s) required for Louisiana licensure.

PRE-PROFESSIONAL SKILLS TESTS OR CORE ACADEMIC SKILLS FOR EDUCATORS (Teacher applicants in all content areas must take all three exams.)

PRE-PROFESSIONAL SKILLS TEST (PPST)

Test #

Score

Effective Date

PPST:R – Pre-Professional Skills Test: Reading

0710 or 5710

176

Effective 7/1/10 – 8/31/14

PPST:W – Pre-Professional Skills Test: Writing

0720 or 5720

175

PPST:M – Pre-Professional Skills Test: Mathematics

0730 or 5730

175

CORE ACADEMIC SKILLS FOR EDUCATORS

Test #

Score

Effective Date

Core Academic Skills for Educators: Reading

5712

156

Effective 9/1/14 Core Academic Skills for Educators: Writing

5722

162

Core Academic Skills for Educators: Mathematics

5732

150

State Board Approved Options:

(1) An ACT composite score of 22 or a SAT combined verbal/critical reading and math score of 1030

may be used in lieu of Praxis 1 PPST Exams or Core Academic Skills for Educators in reading, writing and math by prospective teachers in Louisiana.

(2) Alternate-route candidates admitted to a Louisiana alternative teacher education program with an

earned master's degree from a regionally accredited institution may be exempt from the Praxis I PPST Exams or Core Academic Skills for Educators admission requirement. For a list of approved Louisiana alternative teacher education programs go to www.teachlouisiana.net – Preparation tab.

PRINCIPLES OF LEARNING AND TEACHING (PLT) EXAMS

Principles of Learning & Teaching: Early Childhood

0621 or 5621

157

Effective 1/1/12

Principles of Learning & Teaching: K-6

0622 or 5622

160

Principles of Learning & Teaching: 5-9

0623 or 5623

160

Principles of Learning & Teaching: 7-12

0624 or 5624

157

CONTENT AND PEDAGOGY REQUIREMENTS Content

Pedagogy: Principles of Learning &

Certification Area

Name of Praxis Test Exam Score

Teaching

Birth to Kindergarten Early Childhood: Content Knowledge (5022) prior to 9/1/15 Early Childhood Education (5025) Effective 9/1/15

OR

Education of Young Children (5024)

160 TBD 160

Principles of Learning and Teaching: Early Childhood 0621 or 5621 (Score 157)

OR

Pre-Kindergarten Education (5531) Early Childhood Grades PK-3 Elementary Education: Content Knowledge (0014 or 5014) prior

to 9/1/15

Effective 9/1/15 to 8/31/17 Elementary Education: Content Knowledge (5018)

OR Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005)

Mandatory 9/1/17 Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005)

Elementary Grades 1-5 Elementary Content Knowledge (0014 or 5014) prior to 9/1/15

Effective 9/1/15 to 8/31/17 Elementary Education: Content Knowledge (5018)

OR Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005)

Mandatory 9/1/17 Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005)

155 150 163 *

157 157 155 159 *

157 157 155 159

150 163 *

157 157 155 159 *

157 157 155 159

Principles of Learning and Teaching: Early Childhood 0621 or 5621 (Score 157)

*NOTE: Elementary Education: Multiple Subjects (5001) consists of four separately timed subtests. Candidates will not receive a composite score for 5001. Principles of Learning and Teaching K-6

0622 or 5622 (Score 160) *NOTE: Elementary Education: Multiple Subjects (5001) consists of four separately timed subtests. Candidates will not receive a composite score for 5001.

GRADES 4-8 CERTIFICATION AREAS Score PLT 5-9 Grades 4-8 Mathematics Middle School Mathematics (0069) last administration 6/7/14

Middle School Mathematics (5169) Effective 9/1/14

Grades 4-8 Science Middle School Science (0439) last administration 6/7/14

Middle School Science (5440) Effective 9/1/14

148 165 150 150

--- 160 --- --- 160 ---

Grades 4-8 Social Studies Middle School Social Studies (0089 or 5089) 149 _ 160

Grades 4-8 English/Language Arts

Middle School English/Language Arts (0049 or 5049) Effective 11/1/11 – 8/31/14 Middle School English/Language Arts (5047) Effective 9/1/14

160 164

--- 160 ---

GRADES 6-12 CERTIFICATION AREAS Score PLT 7-12 Agriculture Agriculture (0700) last administration 6/7/14

Agriculture (5701) Effective 9/1/14 510 147

--- --- 157

Business Business Education: Content Knowledge (0101 or 5101) 154 --- --- 157

English English Language, Literature, & Composition: Content Knowledge (0041 or 5041) Effective 5/8/12 – 8/31/14 * Pedagogy (0043) *retired by ETS – last admin 7/20/13

English Language Arts: Content & Analysis (5039) Effective 9/1/14

160 130*

168

157

Family & Consumer Sciences Family & Consumer Sciences (0121 or 5121)

Family & Consumer Sciences (5122) Effective 9/1/14

141

153

---

---

157

Chinese Chinese (Mandarin): World Language (5665) 164

PLT 7-12 (Score 157) until 6/30/13;

After 6/30/13 World Languages Pedagogy 0841 or 5841 (Score 158)

French French: World Language (5174) 157

German German: World Language (5183) 157

Latin None Available*** _

Spanish Spanish: World Language (5195) 157

Mathematics Mathematics: Content Knowledge (0061 or 5061)

Mathematics: Content Knowledge (5161) Effective 9/1/14

135

160

157

Social Studies Social Studies: Content and Interpretation (0086 or 5086) 160 ---

---

157

Speech Speech Communications (0221 or 5221) 146 --- --- 157

Technology Education Technology Education (0051 or 5051) 159 --- --- 157

SCIENCE CERTIFICATION AREAS Biology Biology: Content Knowledge (0235 or 5235) 150 --- --- 157

Chemistry Chemistry: Content Knowledge (0245 or 5245) 151 157

Earth Science None Available*** 157

Environmental None Available*** (Louisiana will accept Environmental Science (0831) w/passing score of 156 earned from 1/1/14 to 6/7/14.)

157

General Science General Science: Content Knowledge (0435 or 5435) 156 157

Physics Physics: Content Knowledge (0265 or 5265) 141 157

Computer Science, Journalism, Marketing

At this time, a content area exam is not required for certification in Louisiana.***

--- --- --- 157

ALL-LEVEL K-12 CERTIFICATION AREAS Score PLT K-6 PLT 5-9 PLT 7-12

Grades K-12 Art Art: Content Knowledge (0134 or 5134) 159 160 or 160 or 157

Grades K-12 Dance None Available*** --- 160 or 160 or 157

Grades K-12 Foreign Languages

(Latin- no content exam***)

Chinese: (Mandarin): World Language (5665) 164 PLT K-6 (Score 160) or PLT 5-9 (Score 160) or PLT 7-12 (Score 157) until 6/30/13;

After 6/30/13 World Languages Pedagogy 0841 or 5841 (Score 158)

French: World Language (5174) 157

German: World Language (5183) 157

Spanish: World Language (5195) 157

Grades K-12 Music Music: Content Knowledge (0113 or 5113) 151 160 or 160 or 157

Grades K-12 Health and Physical Education

Physical Education: Content Knowledge (0091 or 5091) Health and Physical Education (5857) Effective 9/1/14

146 160

160 or 160 or 157

***At this time, a content area exam is not required for certification in Louisiana (31 credit hours in the content area used in lieu of exam for certification).

SPECIAL EDUCATION AREAS Area Content Exam Score Pedagogy Requirement Score

Early Interventionist Birth – 5yrs Pedagogy Requirement

Early Interventionist Birth – 5yrs

Elementary Education: Content Knowledge (0014 or 5014) prior to 9/1/15 Effective 9/1/15 to 8/31/17 Elementary Education: Content Knowledge (5018)

150 163

Special Education: Core Knowledge and Applications (0354 or 5354) and PLT: Early Childhood (0621 or 5621) prior to 9/1/14

145 157

Hearing Impaired K-12

OR Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005)

Mandatory 9/1/17 Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005

*

157 157 155 159

* 157 157 155 159

Special Education: Early Childhood (5691) and PLT: Early Childhood (0621/5621) Effective 9/1/14 Hearing Impaired Pedagogy Requirement Special Education: Core Knowledge and Applications (0354 or 5354) and Education of Deaf and Hard of Hearing Students (0271) last administration of 0271 is 6/7/14 Special Education: Core Knowledge and Applications (0354 or 5354) and Special Education: Education of Deaf and Hard of Hearing (0272)/5272) Effective 9/1/14

159 157 145 160 145 160

Mild to Moderate Disabilities 1-5, 4-8 and 6-12

ALL Candidates must pass a content area exam appropriate to certification level 1-5, 4-8, 6-12 (e.g., Elementary, or core subject-specific exams for middle or secondary grades – ELA, math, science, social studies, etc.)

Mild Moderate Pedagogy Requirement Special Education: Core Knowledge and Mild to Moderate Applications (0543 or 5543) and PLT specific to grade level (K-6, or 5-9 or 7-12) Both exams required for M/M Integrated to Merged Programs

153

Significant Disabilities 1-12

Elementary Education: Content Knowledge (0014 or 5014) prior to 9/1/15 Effective 9/1/15 to 8/31/17 Elementary Education: Content Knowledge (5018)

150 163

Significant Disabilities Pedagogy Requirement Special Education: Core Knowledge and Severe to Profound Applications (0545 or 5545)

153

Visual Impairments/Blind K-12

OR Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005)

Mandatory 9/1/17 Elementary Education: Multiple Subjects (5001)

• Reading Language Arts (5002) • Mathematics (5003) • Social Studies (5004) • Science (5005

*

157 157 155 159 *

157 157 155 159

Visual Impairments/Blind Pedagogy Requirement Special Education: Core Knowledge and Applications (0354 or 5354) prior to 9/1/14 Special Education: Core Knowledge and Applications (0354 or 5354) and Special Education: Teaching Students with Visual Impairments (0282/5282) Effective 9/1/14

145 145 163

ADMINISTRATIVE AND INSTRUCTIONAL SUPPORT AREAS

Certification Area Name of Praxis Test Area Test Score

Educational Leader – Level 1 School Leaders Licensure Assessment (1011 or 6011) 166 Educational Leader – Level 3 School Superintendent Assessment (6021) 160 Ancillary School Librarian Library Media Specialist (0311 or 5311) 136 School Guidance Counselor Professional School Counselor (0421 or 5421) Effective 7/1/15 156

ALTERNATE CERTIFICATION CANDIDATES

Certification Areas Name of Praxis Test Area Test Score

Early Childhood PK-3, Elementary 1-5 & Special Education – (Reading Competency Assessment Option for Alternate Candidates)

Teaching Reading (0204 or 5204)

157

Out-of-State (OS) Certification Checklist

Date:

Applicant:

Out-of-State Application for Louisiana Certification:

Requirements Completed:

Yes No

Requirements

Degree earned from a regionally accredited college or university (official transcripts provided)

Student teaching, internship or three years of teaching in the area of certification (Experience Verification Form submitted when applicable)

One of the following:

1. A regular certificate from the state in which program was completed or

2. Teacher Preparation/Certification Status Form

Experience form verifying teaching in the five-year period immediately preceding first employment in Louisiana/ application for certification.

Professional Conduct Form

PRAXIS SCORES: Praxis I/Core- Reading, W riting, & Mathematics, PLT, and Content exam(s) (Send copies of all score reports from out of state.)

Certification fee of $50.00