Fillable Application for Issuance of Teacher Assistant Certicate (E.C.

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Application for Issuance of Teacher Assistant Certicate (E.C.

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Division of School Financial Services
Certication Section – Room 132 • (310) 922-6503
9300 Imperial Highway • Downey, CA 90242-2890
Application for Issuance of Teacher Assistant Certicate
(E.C. 10020, 44323, 44926)
SECTION I – To be completed by applicant. Please type or print clearly.
PRINT OR TYPE NAME OF APPLICANT (LAST NAME, FIRST NAME MIDDLE NAME)
BIRTHDATE (MONTH/DAY/YEAR) SOCIAL SECURITY NUMBER
ADDRESS OF APPLICANT (NUMBER) STREET CITY STATE ZIP
OATH – AFFIDAVIT
I solemnly swear that I will support the Constitution of the United States of America, the Constitution of the State of California, and
the laws of the United States and the State of California.
I hereby certify under penalty of perjury that all the foregoing statements are true and correct.
Executed this day of , 20 , at City of
State of Signature of Applicant
Applicant: Have college/university complete Section II below prior to submitting this form to the employing
school district.
SECTION II – Verication of applicant’s enrollment in college/university.
Note: This section must be imprinted with the embossed seal of the college/university. Applic
ations without the seal will be
returned to the applicant.
NAME OF COLLEGE/UNIVERSITY WHERE APPLICANT IS CURRENTLY ENROLLED
NAME OF DEPARTMENT/OFFICE
SIGNATURE AND TITLE OF AUTHORIZED PERSON DATE SIGNED
SECTION III – Service as a teacher assistant will be performed at the following school.
NAME OF SCHOOL DISTRICT
NAME OF SCHOOL
BEGINNING DATE OF CURRENT ASSIGNMENT SIGNATURE OF SCHOOL PRINCIPAL /ADMINISTRATOR
GRADE LEVEL (ELEMENTARY/SECONDARY)
DATE SIGNED
REGISTRATION NUMBER
TYPE AND TITLE
REGISTRATION DATE DISTRICT NUMBER(S)
BY (INITIAL)
SUBMIT ORIGINAL APPLICATION FORM TO:
Form No. 503-103 10/14/2013
TO BE COMPLETED BY COLLEGE/UNIVERSITY
TO BE COMPLETED BY EMPLOYING SCHOOL DISTRICT
FOR CERTIFICATION OFFICE USE ONLY
Application for Issuance of Teacher Assistant Certicate
Excerpts from the Education Code
Student Teaching; Requirements and Limitations on Fees
10020. Nothing in this chapter shall be construed as preventing school districts from hiring, employing, or
otherwise using teacher aides, instructional aides, or teacher-assistants under the terms of existing law and
nancial support formulas. The commission may study the various roles of such paraprofessionals and routinely
report its ndings.
Public and private colleges, universities, and community colleges may develop cooperative programs with
school districts or school governing boards to place undergraduate and graduate students in public and private
classrooms as teacher aides or assistants. Such assignment may be, at the discretion of the institution, the
basis for securing college credit.
A certicate to serve as a temporary teacher-assistant shall be issued, by the county superintendent of
schools of the county in which service is to be rendered, to the holder of recommendation from an accredited
college, university, or community college. The certicate shall authorize the holder to serve as a
teacher-assistant. No such certicate shall be granted for a period exceeding two years.
The teacher-assistant certicate shall not be used in lieu of a teaching credential. The holder of such a
certicate shall work under the immediate supervision of a credentialed classroom teacher to whom the
teacher-assistant is assigned, who shall be present in the classroom while the teacher-assistant is performing
his classroom duties or who shall be available at all times to provide guidance and direction to the
teacher-assistant.
(Enacted by Stats. 1976, Ch. 1010.)
Paraprofessionals; Temporary Teacher-Assistant Certicate
44323. Nothing in this chapter shall be construed as preventing school districts from hiring, employing, or
otherwise using teacher aides, instructional aides, or teacher-assistants under the terms of existing law and
nancial support formulas. The commission may study the various roles of such paraprofessionals and routinely
report its ndings.
Public and private colleges, universities, and community colleges may develop cooperative programs with
school districts or school governing boards to place undergraduate and graduate students in public and private
classrooms as teacher aides or assistants. Such assignment may be, at the discretion of the institution, the
basis for securing college credit.
(Enacted by Stats. 1976, Ch. 1010.)
Employment of Certicated Teacher-Assistant
44926. The governing board of any school district may employ any qualied person who possesses a
temporary certicate to serve as a teacher-assistant in a program conducted in cooperation with a California
teacher training institution. No person shall be so employed unless he is enrolled as a student in a cooperating
California teacher training institution at the time the service is rendered. Service by a person under a
teacher-assistant certicate shall not be included in computing the service required as a prerequisite to the
attainment of, or eligibility to, classication as a permanent employee of a school district. The governing board
may make such payments as it deems proper for the services rendered.
Any person employed under this section shall not be subject to the provisions of Chapter 1 (commencing
with Section 22000) to Chapter 27 (commencing with Section 24600), inclusive, of Part 13 of Division 1 of
Title 1.
(Enacted by Stats. 1976, Ch. 1010.)
Form No. 503-103-1 (BACK) 11/10/2010
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Application for Issuance of Teacher Assistant Certicate (E.C.

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Completed 12 June 2021

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