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The Connecticut ED 174 form serves as a crucial pathway for individuals aspiring to enter the field of education as substitute teachers without having completed a bachelor's degree. Issued by the Connecticut State Department of Education and revolving around stringent guidelines, this application invites personal information, education background, and previous experiences with school-age children from candidates. It importantly scrutinizes the applicant's past, asking critical questions about criminal convictions, dismissals for cause, or any adverse actions related to professional credentials, emphasizing the state's commitment to safe and reliable education environments. Moreover, the process mandates a criminal history records check alongside a review of the Department of Children and Families’ child abuse and neglect registry, ensuring candidates meet the high standards expected of educators in Connecticut. Beyond personal and professional history, applicants are also required to make a solemn attestation of the truthfulness of their application, further underlining the seriousness with which the Connecticut State Department of Education treats the appointment of substitute teachers. Additionally, the form outlines the conditions under which the authorizations are granted, including limitations on the duration of assignments, thereby providing structured and regulated opportunities for those seeking to contribute to the education sector without the traditional qualifications.

Document Sample

ED 174

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 1/12

Bureau of Educator Standards and Certiication

C.G.S. 10-145, P.A. 11-27

P.O. Box 150471 – Room 243

C.G.S. 10-145d

Hartford, CT 06115-0471

Regs. 10-145d-420

 

www.ct.gov/sde

APPLICATION FOR SUBSTITUTE TEACHER AUTHORIZATION

FOR CANDIDATES WHO HAVE NOT COMPLETED A BACHELOR’S DEGREE

PART I: PERSONAL INFORMATION (Print all information in dark ink and in uppercase letters.)

 

LAST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FIRST NAME

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MI

 

 

GENDER (M/F)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SOCIAL SECURITY NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTH DATE (Month-Day-Year)Required

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ADDRESS (Street)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Apt #)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(City)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FORMER LAST NAME(S)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(State)

(Zip Code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PHONE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Race/Ethnicity

1.

 

 

Native American

 

 

 

 

 

 

 

 

 

 

 

 

(Home/Cell)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2.

 

 

Asian/Paciic Islander

 

 

E-MAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

 

 

Black

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Optional)

4.

 

 

White

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

 

 

Hispanic

 

 

 

 

 

 

 

 

 

1.

Have you ever been convicted of any crime, excluding minor trafic violations?

 

YES

NO

2. Have you ever been dismissed for cause from any position?

 

YES

NO

3.

Have you ever surrendered a professional certiicate, license, permit or other credential

 

YES

NO

 

 

(including, but not limited to, an education credential); had one revoked, suspended,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

annulled, invalidated, rejected or denied for cause; or been the subject of any other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

adverse or disciplinary credential action?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Pursuant to Connecticut General Statutes Section 10-221d, the State Board of Education must complete a criminal history records check on each applicant for an initial issuance or renewal of a certiicate, authorization or permit. Each applicant seeking an initial issuance or renewal of a certiicate, authorization or permit must also submit to a records check of the Department of Children and Families’ child abuse and neglect registry established pursuant to Connecticut General Statutes Section 17a-101k. In addition, the State Board of Education is required to submit periodically for a criminal history records check the database of all persons who hold any certiicate, authorization or permit.

NOTE: If you answer “YES” to any of the above questions, you must attach a signed statement of explanation. If there are multiple incidents within each question, you must list and explain each separately. Submit oficial copies of court or adminis- trative record(s), including disposition of each case.

Information on this application is subject to disclosure pursuant to the Freedom of Information Act.

PAGE 1

ED 174

PART II: EDUCATIONAL BACKGROUND

List all education you have completed, including high school, trade-related vocational school and/or other postsecondary schooling.

NAME OF SCHOOL

STATE DATES ATTENDED

From (M/Y) To (M/Y)

EDUCATION LEVEL COMPLETED

(H.S. Diploma, GED, Assoc. Degree)

List ALL substitute teaching experience or any other experiences you have had working with school-age children, along with any unique qualiications for the substitute position. (Please attach your resume, or a separate sheet, if necessary.)

PART III: APPLICANT ATTESTATION

I certify that the information provided by me on this application and any accompanying documents contains no material misrepresentations, falsiications or omissions and that all of the information given by me is true, complete and accurate. I understand that all application and accompanying information may be veriied and that any material misrepresentation, falsiication or omission may result in the denial or revocation of my certiicate(s), permit(s) or authorization(s).

ORIGINAL SIGNATURE OF APPLICANT

DATE:

PART IV: EMPLOYING AGENT INFORMATION AND ATTESTATION

The applicant will serve only as a substitute teacher in random assignments and only up to 40 days in one assignment.

Signature of Superintendent, Executive Director or designee attesting to the accuracy of information

(Original Signature: No Signature Stamps Accepted)

Typed or Printed Name of Person Signing Above

District

Street

City,

State, Zip Code

FOR OFFICE USE ONLY

The person named on this application is authorized of education listed above.

Authorized Signature:

Date

Title

Telephone

FAX Number

E-mail Address

is NOT authorized to serve as a substitute teacher for the board

Date:

Original Signatures Must Be On Form Submitted

PAGE 2

ED 174

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 1/12

Bureau of Educator Standards and Certiication

 

C.G.S. 10-145, P.A. 11-27

P.O. Box 150471 – Room 243

C.G.S. 10-145d

Regs. 10-145d-420

Hartford, CT 06115-0471

 

 

www.ct.gov/sde

INSTRUCTIONS TO APPLICATION FOR SUBSTITUTE TEACHER AUTHORIZATION

FOR CANDIDATES WHO HAVE NOT COMPLETED A BACHELOR’S DEGREE

THIS CHECKLIST MUST BE ATTACHED TO THE COMPLETE APPLICATION PACKET

Listed below are the required documents which must be submitted to the Bureau of Educator Standards and Certi- ication to process your request for a Substitute Teacher Authorization for candidates who have NOT completed a bachelor’s degree. This authorization will expire on June 30 of the school year during which it was approved.

Applicant:

a. Complete Parts I, II and III.

b. Return completed application to the superintendent of schools, executive director or designee.

Employing Agent:

a. Complete Part IV and mail application and supporting documentation to the Bureau of Educator Standards and Certiication at the above address.

Information on this application is subject to disclosure pursuant to the Freedom of Information Act.

Document Overview

Fact Name Description
Governing Law This form is governed by Connecticut General Statutes (C.G.S.) 10-145, with amendments under Public Act (P.A.) 11-27, and regulated by sections including C.G.S. 10-145d and Regulations (Regs.) 10-145d-420.
Issuing Body The Connecticut State Department of Education, specifically through the Bureau of Educator Standards and Certification, is responsible for issuing the ED 174 form.
Purpose The ED 174 form serves as an application for substitute teacher authorization specifically designed for candidates who have not completed a bachelor's degree.
Background Checks Requirement Applicants must undergo a criminal history records check by the State Board of Education and a records check of the Department of Children and Families’ child abuse and neglect registry pursuant to Connecticut General Statutes Section 10-221d and Section 17a-101k.

Instructions on How to Fill Out Connecticut Ed 174

Filling out the Connecticut Ed 174 form is a procedural task essential for candidates aspiring for substitute teacher authorization without having completed a bachelor's degree. This document is vital for initiating and validating the candidacy for such positions within Connecticut's educational system. It demands a careful compilation of personal information, educational background, and an attestation to the truthfulness and accuracy of the provided data. The following steps are designed to guide applicants through the process, ensuring clarity and compliance with the Connecticut State Department of Education's requirements.

  1. Part I: Personal Information
    • Print all required personal details using dark ink. Ensure that uppercase letters are used for legibility.
    • Fill in your last name, first name, and middle initial (MI), and select your gender by marking either M (Male) or F (Female).
    • Enter your Social Security Number and your birth date, formatted as Month-Day-Year.
    • Provide your complete address, including the street name, apartment number (if applicable), city, state, and zip code. Include any former last name(s) as well.
    • List your contact information: phone number (home or cell) and an optional email address.
    • Select your race/ethnicity from the provided options: 1. Native American, 2. Asian/Pacific Islander, 3. Black, 4. White, 5. Hispanic.
    • Respond to the three questions regarding criminal convictions (excluding minor traffic violations), dismissals for cause from any position, and any disciplinary actions against professional certificates or licenses. If you answer "YES" to any, attach a detailed signed statement and official records or dispositions regarding each case.
  2. Part II: Educational Background & Experience
    • List all educational institutions you have attended, including high school and any vocational or postsecondary schooling, along with the state where each is located, and the dates attended (from month/year to month/year).
    • Detail the highest level of education you've completed (e.g., H.S. Diploma, GED, Associate Degree).
    • Document all substitute teaching experience or experiences working with school-age children, including any particular qualifications that make you a suitable candidate. If space is insufficient, attach your resume or a separate sheet.
  3. Part III: Applicant Attestation
    • Read the attestation regarding the truthfulness and completeness of the information you've provided.
    • Sign and date the form to certify the accuracy of every detail you've entered or attached.
  4. Part IV: Employing Agent Information and Attestation
    • This section is to be completed by the superintendent, executive director, or their designee of the employing institution. It includes verifying the applicant's potential roles and the truthfulness of their information.
    • The official must provide a signature (no stamps accepted), print their name, and specify their district, street, city, state, and zip code.
  5. Submission:
    • The completed form, along with any required documents and statements, should be returned to the superintendent of schools, executive director, or their designee, who will then forward it to the Bureau of Educator Standards and Certification.

After completing these steps, the processed application will facilitate the assessment of eligibility for a substitute teacher's authorization. This form, serving as a pre-requisite, ensures that all required legal and institutional protocols are adhered to, maintaining a standard of education and safety within Connecticut's school systems.

More About Connecticut Ed 174

  1. What is Connecticut Ed 174 form?

    The Connecticut Ed 174 form is an application document provided by the State Department of Education. It is specifically designed for individuals who seek authorization to serve as substitute teachers in Connecticut but have not earned a bachelor's degree. The form is part of the state's framework to ensure that all individuals serving in teaching capacities meet certain minimum standards, even in a substitute capacity. This form facilitates the assessment and verification process of the applicant's qualifications, criminal background, and educational history.

  2. Who needs to fill out the Connecticut Ed 174 form?

    Individuals who have not completed a bachelor’s degree but wish to serve as substitute teachers in Connecticut are required to fill out the Ed 174 form. This requirement ensures that the Department of Education assesses potential substitute teachers' backgrounds, qualifications, and suitability for interacting with and educating children within the state's school system.

  3. What information must be provided in the Ed 174 form?

    Applicants must provide detailed personal information, including their name, contact details, and Social Security number; a complete education background; any substitute teaching or relevant experience working with school-age children; and a series of disclosures related to criminal convictions, dismissal from positions, and the status of professional licenses or credentials. Additionally, applicants must attest to the truthfulness and accuracy of the information provided.

  4. What are the additional requirements for the Ed 174 form?

    Beyond completing the form, applicants must attach a signed statement of explanation if they answered "YES" to any questions regarding criminal convictions, dismissals for cause, or issues with professional credentials. Official copies of court or administrative records for each case mentioned must also be submitted. This comprehensive disclosure is part of the state’s rigorous process to ensure the safety and well-being of its students.

  5. How is the completed Ed 174 form processed?

    Once filled, the Ed 174 form, along with all required attachments and supporting documents, should be returned to the superintendent of schools, executive director, or their designee. The employing agent is responsible for completing the last section of the form and forwarding the entire application package to the Bureau of Educator Standards and Certification for processing and authorization.

  6. What happens after submitting the form?

    After the form and all requisite documents are submitted, they undergo a review process by the Bureau of Educator Standards and Certification. The bureau evaluates the applicant’s eligibility to serve as a substitute teacher. If approved, the applicant is authorized to serve as a substitute teacher, subject to the conditions stated within the form, such as the limitation of serving up to 40 days in a single assignment. The authorization is valid until June 30 of the school year in which it was approved.

  7. Is information provided on the Ed 174 form subject to public disclosure?

    Yes, information furnished through the Ed 174 form is subject to disclosure under the Freedom of Information Act. This transparency ensures that the process remains open and accountable to the public, reinforcing the trust in the measures intended to safeguard student welfare in Connecticut public schools.

Common mistakes

Completing the Connecticut ED 174 form, which is the Application for Substitute Teacher Authorization for candidates without a bachelor’s degree, can sometimes be challenging. Common errors can disrupt the application process, leading to delays or even rejection. Here are six frequent mistakes to avoid:

  1. Not using dark ink and uppercase letters: The form specifies that all personal information should be completed in dark ink and in uppercase letters. Failing to adhere to this guideline can lead to processing delays as it makes the information harder to read and scan into digital systems.
  2. Omitting required details in the personal information section: Each piece of information requested under the personal information section is crucial for the application's processing. Leaving out details such as the Social Security number or birth date, which are required, can result in the application being incomplete.
  3. Inaccurate or incomplete educational background listings: The form requires the listing of all educational achievements, including high school and any post-secondary education. Often, applicants might overlook or choose to omit certain educational experiences, but doing so can misrepresent your qualifications and affect the authorization outcome.
  4. Failing to attach necessary documents for criminal or disciplinary disclosures: If you answer “Yes” to any questions regarding past convictions, dismissals, or disciplinary actions against professional licenses, it's mandatory to attach a detailed explanation and official documentation for each incident. Neglecting to attach these documents can be grounds for denial or revocation of the authorization.
  5. Not attaching a resume for substitute teaching experience: The form asks for details related to any substitute teaching or relevant experiences working with school-aged children, prompting applicants to attach a resume if necessary. Failure to provide this can leave the review committee without a clear picture of your qualifications and experiences that could be beneficial in a substitute teaching role.
  6. Signature discrepancies: The application requires an original signature from both the applicant and the employing agent in parts III and IV, respectively. Using signature stamps or digital signatures instead of an original signature can lead to the rejection of the application, as it may not be considered valid.

Avoiding these common errors can greatly increase the chances of your application for a Substitute Teacher Authorization being processed smoothly and expediently. Ensure that you double-check each section of the ED 174 form for completeness and accuracy before submission. Taking the time to carefully review and adhere to the instructions provided by the Connecticut State Department of Education can lead to a successful application process.

Documents used along the form

The Connecticut ED 174 form is a crucial document for those seeking Substitute Teacher Authorization without having completed a bachelor's degree. It's an essential step in ensuring that the individuals stepping into classrooms are equipped to foster learning environments, even on a temporary basis. Alongside this form, there are additional documents that often accompany or support the application process, enhancing the profile of the candidate or fulfilling statutory requirements.

  • Resume or Curriculum Vitae (CV): Provides comprehensive information on the applicant’s employment history, educational background, and any relevant experiences working with children. This document complements the ED 174 by offering detailed insights into the applicant's qualifications and suitability for substitute teaching positions.
  • Criminal History Records Check: As mandated by the Connecticut General Statues Section 10-221d, this check helps ascertain the candidate's criminal background, ensuring the safety and security of the school environment. It's a pivotal requirement that must be met for the issuance or renewal of the substitute teaching authorization.
  • Department of Children and Families’ Child Abuse and Neglect Registry Check: This registry check is crucial for identifying any past incidents of child abuse or neglect tied to the applicant, further ensuring the protection of students.
  • Proof of Completed Education: Official transcripts or certificates that verify the applicant's highest level of completed education, supporting the information listed on the ED 174 form.
  • Signed Letter of Explanation: If the applicant answered "YES" to any of the screening questions on the ED 174 form regarding past convictions or disciplinary actions in professional contexts, a detailed explanation and official documentation of the incidents must be provided.
  • Letters of Recommendation: While not always mandatory, letters from previous employers, educators, or professionals who can attest to the applicant's character, work ethic, and experience working with children can significantly strengthen the application.

When compiled thoughtfully, these documents serve to illustrate a comprehensive profile of the applicant, providing the Connecticut State Department of Education with the necessary information to make informed decisions regarding substitute teacher authorizations. It’s a meticulous process that underscores the importance of ensuring qualified and capable individuals are granted the opportunity to contribute to the educational journey of students temporarily.

Similar forms

The Connecticut Ed 174 form, which is an application for substitute teacher authorization for candidates who have not completed a bachelor's degree, shares similarities with several other types of educational and professional application documents. This likeness is primarily due to its structure, purpose, and the kind of information it solicits from applicants.

The National Board Certification application is one such document that bears resemblance to the Connecticut Ed 174 form. Both applications require detailed personal information, educational background, and a history of any criminal convictions. Just as the Ed 174 form demands information about prior teaching or child-related experience, the National Board Certification application asks for a detailed account of the applicant's teaching history and accomplishments. Each form serves as a critical step towards certification or authorization in the educational field, aiming to vet candidates thoroughly to ensure they meet specific standards.

Similarly, state-level teaching license applications share commonalities with the Connecticut Ed 174 form. These documents typically include sections for personal information, educational attainment, and criminal background checks, mirroring the Ed 174's structure. Many state applications, like Connecticut's, also require applicants to disclose any past disciplinary actions against professional licenses or certifications, ensuring that only qualified individuals are permitted to teach. The focus on criminal history and child safety, as seen through required background checks, highlights a universal commitment to protect students and uphold the integrity of the education profession.

Another similar document is the application for educator certification in other states. Like the Connecticut Ed 174 form, these applications often entail submitting verified transcripts, completing professional fitness questions, and undergoing fingerprint-based background checks. The parallel in requiring potential educators to prove their qualifications and integrity is clear, with both aiming to ensure that applicants possess the necessary competence and character to work with children. The emphasis on providing accurate and comprehensive information, along with the consequences for falsification or omission, underscores the seriousness with which educator qualifications are treated across different jurisdictions.

Dos and Don'ts

When you're filling out the Connecticut Ed 174 form for substitute teacher authorization, it's important to pay attention to the details. Here are some key do's and don'ts to keep in mind:

Things You Should Do:

  1. Use dark ink and write in uppercase letters to ensure that your information is legible.
  2. Answer all questions truthfully, including those about past convictions or disciplinary actions against professional certificates or licenses.
  3. Attach a signed statement of explanation if you answer “YES” to any questions regarding past convictions or disciplinary actions, and provide official copies of court or administrative records, including the disposition of each case.
  4. List all of your educational background, including high school, trade-related vocational school, and/or any post-secondary schooling.
  5. Include all of your substitute teaching experiences or any other experiences working with school-age children, along with any unique qualifications for the substitute position.

Things You Shouldn't Do:

  1. Don't leave any sections incomplete. If a section does not apply to you, indicate with “N/A” for “not applicable.”
  2. Avoid providing false, incomplete, or inaccurate information. This can lead to the denial or revocation of your certificate(s), permit(s), or authorization(s).
  3. Do not forget to sign and date the application. An original signature is required; stamp signatures are not accepted.
  4. Do not ignore the requirement to attach additional documents if necessary, such as your resume or a separate sheet detailing your experiences working with school-age children.
  5. Avoid delaying the submission of your application. Ensure it is sent to the appropriate address and reaches the Bureau of Educator Standards and Certification in a timely manner.

Misconceptions

  • One common misconception is that the Connecticut Ed 174 form is only for those who have already started a career in education. However, this form is specifically designed for individuals seeking to become substitute teachers who haven't completed a bachelor's degree, opening doors for those in the midst of their education or exploring a potential career shift.

  • Many people mistakenly believe that filling out the Ed 174 form automatically grants them the authorization to substitute teach in any Connecticut school. The truth is, after submitting the form along with the required documentation, it must be reviewed and approved, and an authorization is then issued by the Bureau of Educator Standards and Certification. This process ensures that candidates meet specific qualification criteria before being allowed to substitute teach.

  • There's a misconception that once you receive your substitute teacher authorization, it lasts indefinitely. In reality, this authorization has an expiry date, which is June 30 of the school year during which it was approved. Substitute teachers must stay aware of this timeline and reapply if they wish to continue in their role beyond this period.

  • It's often thought that completing the Connecticut Ed 174 form is a complicated process requiring numerous documents. While it's true that specific documentation is necessary, the checklist provided in the instructions makes it straightforward. The process involves completing the form, attaching the required documentation, and submitting everything to the Bureau of Educator Standards and Certification through the employing agent.

  • A significant misunderstanding is that answering "Yes" to questions regarding previous convictions or disciplinary actions on the application form will automatically disqualify you. Instead, providing a "Yes" answer requires you to submit a detailed explanation and official documents for each incident, allowing for a fair review of circumstances that may not impact your ability to serve effectively as a substitute teacher.

  • Some assume that all applicants must submit to a criminal history records check and a check of the Department of Children and Families’ child abuse and neglect registry. While these checks are essential steps in the application process, they are conducted by the State Board of Education as part of their review and verification process after the form has been submitted, rather than being the responsibility of the applicant to obtain independently.

  • Finally, a prevalent misconception is that personal information submitted with the Connecticut Ed 174 form will be kept confidential. While individual sensitive details are appropriately protected, it's important to note that information on this application is subject to disclosure pursuant to the Freedom of Information Act. This legal fact highlights the balance between privacy and transparency in the process of becoming a substitute teacher.

Key takeaways

  • Filling out the Connecticut Ed 174 form is necessary for those seeking substitute teacher authorization without a bachelor's degree in Connecticut.

  • Applicants must provide thorough personal information, including contact details and past education, in Part I of the form, ensuring all data is entered accurately and in uppercase letters.

  • It's crucial to disclose any previous criminal convictions (excluding minor traffic violations), previous dismissals from positions for cause, or any disciplinary actions regarding professional certificates or licenses in the designated section of the form.

  • The form requires listing of all educational backgrounds, including high school and any post-secondary schooling, as well as substitute teaching experience or any other experience working with school-age children in Part II.

  • Applicants need to certify the accuracy of the information provided in Part III through a signature, acknowledging that any misrepresentation may lead to denial or revocation of authorization.

  • The employing agent must complete Part IV, attesting to the accuracy of the applicant’s information and the conditions under which the applicant will serve as a substitute teacher.

  • The application process includes a criminal history records check and a check of the Department of Children and Families' child abuse and neglect registry for each applicant.

  • If an applicant answers "YES" to any questions regarding past convictions, dismissals, or credential actions, they must attach a detailed statement and official documents regarding each incident.

  • Information provided on the Ed 174 form is subject to disclosure under the Freedom of Information Act, emphasizing the need for honest and complete answers.

  • The substitute teacher authorization granted through this form is temporary and expires on June 30 of the school year during which it was approved, necessitating renewal for continued authorization beyond this term.

  • Completed applications, along with all required documentation, should be returned to the superintendent of schools, executive director, or designee, who will then forward it to the Bureau of Educator Standards and Certification for processing.

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