Fill - Free fillable IDAHO EDUCATOR CERTIFICATION RENEWAL APPLICATION (State of Idaho) PDF form

UPDATED 12/3/2020 Information / Certification / SDE / 1

IDAHO EDUCATOR CERTIFICATION RENEWAL APPLICATION

Application Packet Important Information

Page 1 & 2 of this packet are for reference only and do not need to be submitted with your application.

• This application is ONLY for those that are applying for a renewal of a 5-year renewable

certificate. If you are applying for anything other than a renewal, please use the Idaho

Educator Certification Application.

• Do not apply for renewal earlier than January 1

of the year your certificate expires as it will

be returned to you.

• If you are applying for Career Technical Education certification, do not use this application.

Please see information and applications at https://cte.idaho.gov/educators-5/become-a-cte-

educator/.

• Please check that you have included the items below, as the application will be returned to

you if they are missing.

☐ $75.00 Application Fee – check or money order payable to the State Department of

Education or SDE

☐ Completed attestations and signed last page of the application

• Transcripts – Transcripts for certification renewal do not need to be official. Photocopies,

faxes or internet printouts of transcripts are acceptable, as long as the name of the renewal

applicant, name of the college or university, titles of the classes, number of credits earned for

each class, and when the credits were earned are all listed on the document. To expedite

processing, please include transcripts with your application.

 Check the box for the method you are using to submit transcripts. If you are not

including them in the application packet, please have them sent two weeks after

application is mailed.

☐ Included in this application packet – preferred method for expedited processing

☐ Electronically sent directly from university/college to Transcripts@sde.idaho.gov

☐ Emailed from applicant to Transcripts@sde.idaho.gov

☐ Mailed separately

☐ Delivered in person

For more detailed information please see our website at

http://www.sde.idaho.gov/cert-psc/cert/apply/renewal.html

UPDATED 12/3/2020 Information / Certification / SDE / 2

List of Idaho Endorsements

Standard Instructional Certificate

• All Subjects (K-8)

• American Government/Political Science (5-9

or 6-12)

• American Indian Language (K-12)

• Bilingual Education (K-12)

• Biological Science (5-9 or 6-12)

• Blended Early Childhood Education/Early

Childhood Special Education (Birth – Grade 3)

• Blended Elementary Education/Elementary

Special Education (Grade 4-Grade 6)

• Chemistry (5-9 or 6-12)

• Communication (5-9 or 6-12)

• Computer Science (5-9 or 6-12)

• Deaf/Hard of Hearing (Pre-K-12)

• Early Childhood Special Education (Pre-K-3)

• Earth and Space Science (5-9 or 6-12)

• Economics (5-9 or 6-12)

• Engineering (5-9 or 6-12)

• English (5-9 or 6-12)

• English as a Second Language (ESL) (K-12)

• Exceptional Child Generalist (K-8, 6-12, or K-

12)

• Geography (5-9 or 6-12)

• Geology (5-9 or 6-12)

• Gifted and Talented (K-12)

• Health (5-9, 6-12, or K-12)

• History (5-9 or 6-12)

• Humanities (5-9 or 6-12)

• Journalism (5-9 or 6-12)

• Junior ROTC (6-12)

• Literacy (K-12)

• Mathematics (6-12)

• Mathematics – Middle Level (5-9)

• Music (5-9, 6-12 or K-12)

• Natural Science (5-9 or 6-12)

• Online-Teacher (K-12)

• Physical Education (PE) (5-9, 6-12, or K-12)

• Physical Science (5-9 or 6-12)

• Physics (5-9 or 6-12)

• Psychology (5-9 or 6-12)

• Science – Middle Level (5-9)

• Social Studies (6-12)

• Social Studies – Middle Level (5-9)

• Sociology (5-9 or 6-12)

• Sociology/Anthropology (5-9 or 6-12)

• Teacher Leader – Instructional Specialist

• Teacher Leader – Literacy

• Teacher Leader – Mathematics

• Teacher Leader – Special Education

• Teacher Librarian (K-12)

• Theater Arts (5-9 or 6-12)

• Visual Arts (5-9, 6-12 or K-12)

• Visual Impairment (Pre-K-12)

• World Language (5-9, 6-12 or K-12)

o Chinese, French, German, Japanese, Latin,

Russian, Spanish, etc.

Pupil Service Staff Certificate

• Audiology

• Occupational Therapist

• Physical Therapist

• School Counselor (K-12)

• School Counselor – Basic (K-12)

• School Nurse

• School Psychologist

• School Social Worker

• Speech-Language Pathologist

Administrator Certificate

• Director of Special Education (Pre-K-12)

• School Principal (Pre-K-12)

• Superintendent (Pre-K-12)

UPDATED 12/3/2020 Renewal Application / Certification / SDE / 3

IDAHO EDUCATOR CERTIFICATION RENEWAL APPLICATION

THIS SECTION FOR

OFFICIAL USE ONLY

Fee

Date Receipted

Check #

Recent Credits

Admin

Date Entered

Date Printed

Section I: Personal Information

Full Legal Name

Birth Date

Maiden/Other Name

☐ Male ☐ Female

Email Address

Street or PO Box #

City, State, Zip Code

Phone #

Section II: Endorsements

If adding new endorsement(s), please list the endorsement(s) here and include transcripts

and any other forms to support the endorsements. Please refer to the List of Idaho Endorsements on page 2. Note: If no changes

to a current certificate are being requested, please write “SAME” next to Endorsement #1.

Endorsement # 1

Endorsement # 5

Endorsement # 2

Endorsement # 6

Endorsement # 3

Endorsement # 7

Endorsement # 4

Endorsement # 8

Section III: Professional Development – Six (6) Semester Credits

Renewal applicant must have

earned at least six (6) semester credits during the validity period of the credential. At least three (3) of these credits must be

transcripted. Up to three (3) semester credits may be earned by Idaho district-approved in-service signed off on Form B7 -

Verification of Completion of Equivalent In-service. List only college/university where these credits were earned.

Name of Course

College/University

Name

Credits Earned Date Completed

UPDATED 12/3/2020 Renewal Application / Certification / SDE / 4

Section IV: Administrator Certificate Renewal Requirements

Applicants renewing Administrator Certificates (Director of Special Education, School

Principal, or Superintendent) are required to complete a State Board of Education

approved three (3) credit course on teacher evaluation based on the statewide

framework during the five (5) year validity period of the credential being renewed.

For a list of approved courses, please visit: https://boardofed.idaho.gov/k-12-

education/educator-effectiveness/administrator-recertification-renewal-requirement/.

 Have you completed the Administrator Certificate Renewal Requirement? Please submit

verification of course completion with application packet.

☐ Yes

☐ No – renew without the Administrator Certificate.

☐ Not required – I do not hold an Administrator Certificate.

Section V: Licensing History You must answer “yes” to each question that applies to you, even if you have already

answered “yes” on a previous application.

IMPORTANT: Discrepancies in this section will result in denial of educator license/certificate.

1. Have you ever had an educator or teacher license/certificate denied by any

professional licensing authority?

☐ Yes ☐ No

2. Have you ever had disciplinary action taken against a professional

license/certificate? Disciplinary action on a license/certificate includes

revocation, suspension, probation, letters of reprimand, or conditions imposed

by a professional licensing authority.

☐ Yes ☐ No

3. Have you ever voluntarily surrendered a professional license/certificate to avoid

disciplinary proceedings by a professional licensing authority?

☐ Yes ☐ No

4. Are there pending disciplinary proceedings or investigations against your

license/certificate by a professional licensing authority?

☐

Yes

☐

All applicants answering yes – Include a detailed written explanation for each question marked

yes. You do not need to resubmit a written explanation if you have previously provided one.

UPDATED 12/3/2020 Renewal Application / Certification / SDE / 5

Section VI: Legal History

As part of the application process, the State Department of Education may conduct a

background investigation check, which involves a review of criminal history such as arrests and misdemeanor or felony

convictions.

By signing this application I acknowledge that I may be required to provide additional

information, such as court records.

• Felonies - In order to expedite your application, please include a detailed written

explanation of each felony criminal issue and a copy of the judgment of conviction for

any felony conviction.

o Please obtain court records from the court house.

o A printout from the State Judiciary repository will NOT be accepted as relevant

court documents.

Note: If you have provided these documents with a previous application, you do not

need to resubmit them.

• Misdemeanors – There is no need to submit documentation with your application for

misdemeanor arrest and/or convictions. We will contact you if we need any

information.

IMPORTANT – Failure to respond to a request for information will result in your application not being

approved.

Section VII: Attestations and Signature In order for us to be able to process your application,

please review and initial each of the statements below.

Initials

I attest and affirm that I have read the Code of Ethics for Idaho Professional

Educators (for a copy, go to http://sde.idaho.gov/cert-psc/psc/ethics.html).

Initials

I attest and affirm that all statements made by me on this application are true

and correct to the best of my knowledge.

Initials

I understand that it is a violation of the Code of Ethics for Idaho Professional

Educators to make any false statement(s) on this application or required

documents. Disciplinary action, which may include revocation, suspension,

denial, letter of reprimand, or conditions, may be imposed under Section 33-

1208, Idaho Code.

Do not sign until you have read and initialed the above statements

Signature of Applicant:

Date:

Return form, transcripts, and fee(s) in one packet to:

State Department of Education

ATTN: Teacher Certification

P.O. Box 83720

Boise, ID 83720-0027

You will be mailed two copies of your certificate upon application approval.

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IDAHO EDUCATOR CERTIFICATION RENEWAL APPLICATION (State of Idaho)

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