Jim and Judy Watson COE Student Services
Credential Processing (CE 102)
5500 University Parkway
San Bernardino, CA 92407-2393
Website: credentials.csusb.edu
Telephone#: (909) 537-7401
INSTRUCTIONS FOR THE APPLICATION FOR CREDENTIAL RECOMMENDATION
MULTIPLE SUBJECT SB 2042 (PRELIMINARY)
The submission of the Application for Credential Recommendation (includes all required documentation) initiates a program evaluation and the formal
credential recommendation by a Credential Analyst to the Commission on Teacher Credentialing (C.T.C.). Due to Credential Processing working from
a remote location, applications may be submitted via email to credrec@csusb.edu at the beginning of the last quarter of program coursework and
after all of the program requirements have been successfully completed. Please note that all candidates must be officially and unconditionally
admitted to the University and to the appropriate credential program (includes separate admission to the Bilingual Added Authorization) in order to be
formally recommended for the credential by CSUSB.
The recommended credential issuance date will be the official program completion date (includes coursework, CPR, and/or examination(s), if
applicable) -OR- if three months have passed since the official program completion date, the recommended credential issuance date will be the date
the completed application was officially accepted by Credential Processing.
The results of the program evaluation will be sent to the e-mail address provided on the Application for Credential Recommendation within
approximately 10 15 business days from the submission date of the complete application. Applications with coursework-in-progress will not be
formally recommended to C.T.C. until 2 - 4 weeks after CSUSB grades have been posted.
REQUIRED DOCUMENTATION
It is the applicant’s responsibility to verify that all credential requirements are successfully completed and that all required documentation is at the Jim
and Judy Watson, College of Education Student Services prior to or at the time of submission of the Application for Credential Recommendation.
APPLICATION FOR CREDENTIAL RECOMMENDATION: All applicants must complete sections 1, 2, and 3 (signature required). Incomplete
applications and forms will be returned to the applicant for completion and resubmission.
PROCESSING FEE: All applicants are required to submit confirmation of payment of the *$25 CSUSB non-refundable processing fee. Please see
the Fee Receipt for processing fee payment instructions.
BASIC SKILLS REQUIREMENT: All applicants must have submitted verification of successful completion of the Basic Skills Requirement to the Jim
and Judy Watson COE Student Services.
SUBJECT MATTER COMPETENCE: All applicants must have submitted verification of successful completion of Subject Matter Competence to the
Jim and Judy Watson COE Student Services.
**RICA: All applicants that have taken and passed the Reading Instruction Competence Assessment (RICA) examination, are required to submit
verification of successful completion via a valid official copy of the Electronic Score Report (unique bar code required). Complete RICA Statement
form, if applicable.
**TEACHER PERFORMANCE ASSESSMENT: All applicants that have taken and passed the CalTPA, are required to submit verification of
successful passage via the official copy of the electronic CalTPA Cycle Performance Summary Score Report (unique bar code required).
CPR CERTIFICATION: All applicants are required to submit verification of a current and valid (on-line CPR training is not acceptable) CPR
certification card that includes Infant, Child & Adult CPR training. The certification card needs to include the month, day and year of completion.
U.S. CONSTITUTION: All applicants are required to submit official verification of successful completion (C- or better) of a college-level course or
examination covering the United States Constitution completed at a regionally accredited college or university.
COLLEGE/UNIVERSITY TRANSCRIPTS: All applicants that have completed any of the program coursework at another institution are required to
submit the updated original official transcript(s) and verification of the approved equivalency via a Request for Course Substitution or program plan
approved and signed by the Program Coordinator.
PROGRAM PLAN: All applicants are required to have a current Program Plan completed and signed by the Program Coordinator. NOTE: Bilingual
Added Authorization candidates are required to have a Program Plan reflecting the Bilingual Added Authorization course of study completed and
signed by the Bilingual Program Coordinator.
CERTIFICATE OF CLEARANCE: All applicants are required to have a valid Certificate of Clearance or California credential/permit recorded with
C.T.C. Applicants who have not held a valid Certificate of Clearance or California credential/permit for more than 18 months must submit a copy of a
recently completed Request for Live Scan Service (Form 41-LS) with the credential application.
PROGRAM VERIFICATION LETTER: Bilingual Added Authorization applicants are required to submit a Program Verification Letter completed and
signed by the Bilingual Program Coordinator verifying the successful completion of program and exit interview in order to be eligible for the Preliminary
credential recommendation.
*Fee subject to change.
**Executive Order N-66-20 allows a candidate to postpone completion of the RICA and/or CalTPA for the issuance of the Preliminary credential however, the
candidate will be required to complete RICA and/or CalTPA in order to qualify for the Clear credential.
MSAppPrelim 0
7-20
Jim and Judy Watson COE Student Services
Credential Processing (CE 102)
5500 University Parkway
San Bernardino, CA 92407-2393
Website: credentials.csusb.edu
Telephone #: (909) 537-7401
APPLICATION FOR CREDENTIAL RECOMMENDATION
It is the applicant’s responsibility to verify that all credential requirements are successfully completed and that all required
documentation is on file at the Jim and Judy Watson College of Education Student Services Office prior to or at the time of
Application for the Credential Recommendation. NOTE: To complete this form, download and/or print this pdf document.
1. PERSO
NAL INFORMATION
Student Identification Number: __________________________________________
Applicant’s Name: ____________________________________________________________________________________
First Middle Last
All Former/Maiden Name(s): ____________________________________________________________________________
Address: ____________________________________________________________________________________________
Number and Street City State Zip Code
Home/Cell Phone: _________________________________ Work Phone: __________________________________
Email Address (MyCoyote or Personal): ___________________________________________________________________
Appl
icant’s signature: ____________________________________________________ Date: __________________________
App4CredRec 06-20
2
. CREDENTIAL INFORMATION
CREDENTIAL TYPE (select one): __________________________________________________________________________________
CREDENTIAL TERM (select one): __
P
_______
RELIMINARY
________________________________________________________________________
SUBJECT AREA (select one, if applicable): ___
N
_
/A
______________________________________________________________________
ADDED AUTHORIZATION (select one, if applicable): __
N
__
/A
____________________________________________________________
Have you passed the RICA examination (select one)? ___________________________________________________________________
Have you completed the CalTPA cycles 1 and 2 (select one)? _____________________________________________________________
List all CSUSB p
rogram coursework for which you are currently enrolled, if applicable (Example: EDUC 603, EDUC 631):
_
_____________________________________________________________________________________________________________
3. TRANSCRIPT AUTHORIZATION, DECLARATION AND DATE
I, the aforementioned, authorize Credential Processing to order and/or submit my transcript(s), if applicable to the Commission on
Teacher Credentialing (C.T.C.). I understand that with the submission of the application, I am required to follow through with
C.T.C.’s online application no later than 90 days after the credential recommendation date. Non-compliance will result in having
to reprocess an Application for Credential Recommendation with the appropriate fees. I hereby under penalty of perjury that all
the required documentation and foregoing information submitted for this applicable is true and correct.
SELECT ONE
SELET ONE
SELECT ONE
click to sign
signature
click to edit
, am unable to take
the Reading Instruction Competence Assessment (RICA) due to the fact
, SID#
To Whom It May Concern:
I, ______________________________ ______________
(Select all that apply)
I did not attempt to register because I felt unsafe for myself and/or others to be
in public spaces.
The testing centers were closed.
I was registered and my registration was canceled (documentation attached)
Thank you,
________________________________
RICA STATEMENT
COE RS 07-20
click to sign
signature
click to edit
Jim
and Judy Watson COE Student Services
Credential Processing (CE 102)
5500 University Parkway
San Bernardino, CA 92407-2393
Website: credentials.csusb.edu
Telephone#: (909) 537-7401
FEE RECEIPT INSTRUCTIONS
All applicants are required to pay the $25 non-refundable processing fee via one of the methods below.
NOTE: Confirmation of the payment must be submitted with the Application for Credential Recommendation.
IN PERSON
Pay in-person at Student Financial Services (UH-35) with payment (cash, check, money order, traveler's check, cashier's
check or pin-based ATM accepted). Due to the current COVID-19 situation, the pay in-person option is not
available.
ON-LINE (MyCoyote Account)
Pay on-line via your MyCoyote account with an electronic check or credit card (American Express, Discover, MasterCard
or VISA accepted) following these steps:
Sign in to your MyCoyote account via the CSUSB Home page at http://www.csusb.edu/
Select Student Center
Select Make a Payment under the Finances Section
Read Statement and Select Next
Select Make Payment (top menu)
Select College of Education Student Services (right menu)
Select Credential Service Fee
Manually enter fee amount (refer to the application/request instructions for the required processing fee)
Select Add to Basket
Checkout and make your payment
ON-LINE (Without MyCoyote Account)
Pay on-line via Campus eMarket (available for applicants that do not have a valid MyCoyote account) with an electronic
check or credit card (American Express, Discover, MasterCard or VISA accepted) following these steps:
Go to the Campus eMarket page at https://commerce.cashnet.com/eCampus
Select College of Education Student Services
Enter the required information
Check the appropriate box (refer to the application/request instructions for the required processing fee)
Select Add to Basket
Checkout and make your payment
FRPM 06-20