School District Teaching Permit
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31Aug19_jo
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Important Note: Entities approved as Districts of Innovation (DOI) that have exempted themselves from certification
requirements should not submit this form.
School district teaching permits issued for any teaching assignment other than "noncore academic career and technical
education (CTE)" are subject to approval by the commissioner of education.
A “noncore academic CTE course” is a CTE course that is not eligible to satisfy foundation graduation course credit in mathematics,
science, language arts, or social studies.
As certified to the school district board of trustees, the qualifications of this candidate to teach the the assigned subject have been verified
and the candidate has been subject to the national criminal history background based on fingerprinting in compliance with the Texas
Education Code, Chapter 22, Subchapter C, Sec. 22.0833 for a non-certified employee. The district shall retain all records relating to the
candidate's qualifications and issuance of this SDTP for five years after the last day of employment with the district. These records may
include documentation of occupational experience, professional license, certificate, and/or course credit related to the teaching subject
assignment from an accredited university or college.
Has this person been unable to pass a required teacher certification exam(s)?
Section C - Candidate Information
Superintendent/Designee Signature
Has this person had educator credentials sanctioned or had an application for educator credentials denied?
How is this candidate qualified to teach the subject/course (i.e. relevant work experience, formal training, education and/or professional
license)?
Section B - District Information
Gender Ethnicity/Race
TEA ID
Driver License Number
DL State
Date of Birth
Maiden Name (if applicable)
Middle Initial
First Name
Last Name
County/District Number
District Name
Yes NoHas this person ever been issued a teaching certificate or permit?
Ext.
Superintendent/Designee E-mail
Name of Superintendent/Designee
Section D -Affidavit
Position Title
Date
Superintendent/Designee
Direct Phone Number
Yes No
Yes No
Subject or Course the Person Will Teach Grade Level Range
Section A - Type of School District Teaching Permit (Texas Education Code 21.055)
School District Teaching Permit
Copyright© Texas Education Agency. All Rights Reserved.
31Aug19_jo
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Section G - Professional Work Experience (copy and attach additional sheets as necessary)
Employer
Indicate Highest Level of Education:
CollegeHigh School
Section E - Education
Name and Location
of School
Dates From Dates To
Date
Graduated
Expected
Graduation
Date
Sem/Clock Hours
Completed
Type of Diploma
or Degree
Major/Minor
Fields of Study
Section F - Professional License, Certificate or Registration
Graduate
Leaving Date
Starting Date
Average number of hours worked per week
Temp/Project
Summer
Part-Time
Full-Time
Immediate Supervisor Name and Title
Employer's Phone Number
Position Title
Responsibilities or Skilled Work Personally Performed by You.
Be specific: List equipment operated, skilled work or services performed, and supervisory experience (number of
employees supervised).
License/Certification
(R.N., Attorney, etc)
Date Issued Date Expires Issuing Authority License Number
School District Teaching Permit
Copyright© Texas Education Agency. All Rights Reserved.
31Aug19_jo
Page 3 of 4
Section G - Professional Work Experience (copy and attach additional sheets as necessary)
Employer
Leaving Date
Starting Date
Average number of hours worked per week
Temp/Project
Summer
Part-Time
Full-Time
Immediate Supervisor Name and Title
Employer's Phone Number
Position Title
Employer
Leaving Date
Starting Date
Average number of hours worked per week
Temp/Project
Summer
Part-Time
Full-Time
Immediate Supervisor Name and Title
Employer's Phone Number
Position Title
Responsibilities or Skilled Work Personally Performed by You.
Be specific: List equipment operated, skilled work or services performed, and supervisory experience (number of
employees supervised).
Responsibilities or Skilled Work Personally Performed by You.
Be specific: List equipment operated, skilled work or services performed, and supervisory experience (number of
employees supervised).
School District Teaching Permit
Copyright© Texas Education Agency. All Rights Reserved.
31Aug19_jo
Page 4 of 4
NOTE: This is NOT the correct application for an Emergency Permit
Please call (512) 936-8400, Option 2 to speak to a certification specialist.
School District Teaching Permit
1. Complete all information.
2. Print and scan the School District Teaching Permit form with appropriate signatures.
3. Submit the completed and signed form to sdtp@tea.texas.gov (one application per email
request.
Submit school district teaching permit questions by email to sdtp@tea.texas.gov
. Include your name, school district and
direct daytime phone number in the email.
Section H - Instructions