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Fill Out a Valid Connecticut Ed 177 Template

The Connecticut Ed 177 form is a crucial document for educators looking to obtain a Durational Shortage Area Permit (DSAP), enabling schools or districts to fill positions when there are no certified candidates available. This form, which must be initiated by the employing school or district, plays a pivotal role in the process of application for both the initial issuance and reissuance of a DSAP, detailing specific documentation and prerequisites needed from candidates, school or district officials, and educator preparation providers. To smoothly navigate the application process for a DSAP, make sure to fill out the Connecticut Ed 177 form accurately by clicking the button below.

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Fill Out a Valid Connecticut Ed 177 Template

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Navigating the educational landscape in Connecticut, particularly when it comes to addressing teacher shortages in critical areas, requires a thorough understanding of specific procedural documents like the Connecticut Ed 177 form. This document is a vital tool used by the Connecticut State Department of Education, as outlined in its detailed instructions, for the application process pertaining to the Durational Shortage Area Permit (DSAP). The DSAP serves as a bridge to fill teaching positions that have remained vacant due to a lack of suitably certified candidates. It's not a straightforward form that just anyone can initiate; rather, it requires a coordinated effort between the candidate, educational institutions, and school or district officials. Each segment of the process – from the candidate's part in completing parts I, II, and III and attaching necessary transcripts, to the school or district officials' role in submitting the form and supporting documents, and not forgetting the educator preparation provider's input – is designed to ensure that despite the interim nature of the certification, the quality of education provided to students is not compromised. Further complexity is added with the requirement for specific endorsements and the provision for reissuance of the DSAP, emphasizing the dynamic approach Connecticut takes towards maintaining educational standards. This introduction to the ED 177 form encapsulates its purpose, the collaborative efforts required to navigate its application, and signals the structured, albeit flexible, strategy employed by Connecticut to address teacher shortages effectively and efficiently.

Document Sample

		INSTRUCTIONS – PAGE 1
	ED 177	CONNECTICUT STATE DEPARTMENT OF EDUCATION
	REV. 9/20	Bureau of Educator Standards and Certification
	C.G.S. 10-145	P.O. Box 150471
	C.G.S. 10-145d	P.O. Box 150471
	C.G.S. 10-145d	Hartford, CT 06115-0471
	Regs. 10-145d-421, 422	Hartford, CT 06115-0471
	Regs. 10-145d-421, 422
		www.ct.gov/sde/cert
		INSTRUCTIONS FOR FORM ED 177

APPLICATION FOR FIRST ISSUANCE OF THE DURATIONAL SHORTAGE AREA PERMIT (DSAP)

A Durational Shortage Area Permit (DSAP) may be requested by the school or district if a position cannot be filled by an appropriately certified candidate. An application for issuance of a DSAP cannot be initiated by the applicant. The effective date of the DSAP may be the date the original ED 177 is received, provided all requirements for issuance have been met on or before this date. An

ED 177 must be submitted prior to the first day of employment.

Please complete the appropriate section of the checklist below.

CANDIDATE

a. Complete Parts I, II, and III of the application form (ED 177).

b. Attach official transcripts showing the completion of at least 12 semester hours of credit in the subject for which the DSAP is requested. An official transcript showing the completion of a bachelor’s degree must be included if the candidate has never held certification in Connecticut.

SCHOOL OR DISTRICT OFFICIAL

The application form (ED 177) and supporting documentation must be submitted by the employing agent to the Bureau of Educator Standards and Certification. The “Evidence of Enrollment” form ED 177 (Attachment) may be submitted separately.

a. Complete Parts IV and V of the application form (ED 177).

b. Complete the “Evidence of Enrollment” form ED 177 (Attachment) – Part A, if applicable. If this part is required, return the

Attachment to the candidate for signature by the appropriate higher education official where the candidate is enrolling in a teacher preparation program or the Alternate Route to Certification program. The Attachment need not be completed if the candidate holds a valid Connecticut certificate and is completing course work under a DSAP to fulfill requirements for a cross endorsement (except for endorsements 102, 112 or 113), or if the candidate has at least 20 school months of successful appropriate* teaching experience in an approved nonpublic school.

EDUCATOR PREPARATION PROVIDER

a. Complete the “Evidence of Enrollment” form ED 177 (Attachment) – Part B and Part C, if applicable. The Attachment need not be completed if the candidate holds a valid Connecticut educator certificate and is completing course work under a DSAP to fulfill requirements for a cross endorsement (except for endorsements 102, 112 or 113), or if the candidate has at least 20 school months of successful appropriate* teaching experience in the same approved nonpublic school.

*The twenty months must be in the subject area or field for which the initial educator certificate will be sought (CT State Regulation 10-145d-412 (3)(A)).

		INSTRUCTIONS – PAGE 2
	ED 177	CONNECTICUT STATE DEPARTMENT OF EDUCATION
	REV. 9/20	Bureau of Educator Standards and Certification
	C.G.S. 10-145	P.O. Box 150471
	C.G.S. 10-145d	P.O. Box 150471
	C.G.S. 10-145d	Hartford, CT 06115-0471
	Regs. 10-145d-421, 422	Hartford, CT 06115-0471
	Regs. 10-145d-421, 422
		www.ct.gov/sde/cert

APPLICATION FOR REISSUANCE OF THE DURATIONAL SHORTAGE AREA PERMIT (DSAP)

A Durational Shortage Area Permit (DSAP) may be requested by the employing agent of a board of education if a position cannot be filled by an appropriately certified candidate. An application for issuance of a DSAP cannot be initiated by the applicant. The effective date of the DSAP will be the date the original ED 177 is received, provided all requirements for issuance have been met on or before this date. An ED 177 must be submitted prior to the first day of employment.

The following checklist outlines the sections of the form to be completed and documents which must be submitted by the employing agent in order for the Bureau of Educator Standards and Certification to determine eligibility for a DSAP.

CANDIDATE

a. Complete Parts I, II, and III of the application form (ED 177).

b. Attach official transcripts showing the completion of at least nine semester hours of credit during the validity period of the previous DSAP in the subject for which the DSAP is requested.

SCHOOL OR DISTRICT OFFICIAL

The application form (ED 177) and supporting documentation must be submitted by the employing agent to the Bureau of Educator Standards and Certification. The Attachment may be submitted separately.

a. Complete Parts VI and VII of the application form (ED 177).

b. Complete the “Evidence of Enrollment” form ED 177 (Attachment) – Part A, if applicable. If this part is required, return the

EDUCATOR PREPARATION PROVIDER

*The twenty months must be in the subject area or field for which the initial educator certificate will be sought (CT State Regulation 10-145d-412 (3)(A)).

INSTRUCTIONS – PAGE 3

ED 177

CONNECTICUT ENDORSEMENT CODES

Teaching Endorsements

010Business, 7–12

015English, 7–12

018French, 7–12

019German, 7–12

020Italian, 7–12

021Latin, 7–12

022Russian, 7–12

023Spanish, 7–12

024Other World Language, 7–12

026History & Social Studies, 7–12

029Mathematics, 7–12

030Biology, 7–12

031Chemistry, 7–12

032Physics, 7–12

033Earth Science, 7–12

034General Science, 7–12

035Driver Education

040Agriculture, Pre-K–12

041Vocational Agriculture, 7–12

042Art, PK–12

043Health, P –12

044Physical Education, PK–12

045Home Economics, PK–12

047Technology Education, PK–12

049Music, PK–12

055Partially Sighted, PK–12

057Deaf and Hard of Hearing, PK–12

059Blind, PK–12

062School Library Media Specialist

072 School Nurse-Teacher

073School Dental Hygienist-Teacher

089Marketing Education, 7–12

101World Language Instructor, Elementary

102Remedial Reading & Remedial Language Arts, 1–12

104Cooperative Work Education/Diversified Occupations

110Unique Subject Area

111Teaching English to Speakers of Other Languages (TESOL), PK–12

112Integrated Early Childhood/Special Ed., Birth – Kindergarten

113Integrated Early Childhood/Special Ed., Nursery -K–Elem. 1–3

165Comprehensive Special Education, K–12

215English, Middle School

226History & Social Studies, Middle School

229Mathematics, Middle School

230Biology, Middle School

231Chemistry, Middle School

232Physics, Middle School

233Earth Science, Middle School

234General Science, Middle School

235Integrated Science, Middle School

305Elementary, 1 – 6

317Portuguese, 7–12

318Mandarin Chinese, 7–12

483Dance, Pre-K–12

485Theatre and Drama, Pre-K–12

511Montesori, Elementary, 1–6

512Montesori, Primary, Birth to Kindergarten

826Vocational Department Head: Trade Technology

Administrative Endorsements		Adult Education Endorsements
		Adult Education Endorsements
085	School Business Administrator	088	Non-English Speaking Adults
092	Intermediate Administration or Supervision	106	High School Credit Diploma Program
093	Superintendent of Schools	107	External Diploma Program/Noncredit Mandated Programs
097	Reading and Language Arts Consultant
105	Department Chairperson

Special Services Endorsements
061	Speech and Language Pathologist	Vocational Endorsements
068	School Counselor	082	Vocational Technical Administrator
070	School Psychologist	090	Occupational Subject, Vocational Technical Schools
071	School Social Worker	091	Trade-Related Subjects, Vocational Technical Schools
268	School Marriage and Family Therapist	098	Trade & Industrial Occupations – Comprehensive High School
		103	Health Occupations – Comprehensive High School
		108	Practical Nurse Education Instruction

NOTE: Bilingual codes are not provided. Check appropriate box on application to request a bilingual endorsement.

PAGE 4

	ED 177	CONNECTICUT STATE DEPARTMENT OF EDUCATION
	REV. 9/20	Bureau of Educator Standards and Certification
	C.G.S. 10-145	P.O. Box 150471
	C.G.S. 10-145d	P.O. Box 150471
	C.G.S. 10-145d	Hartford, CT 06115-0471
	Regs. 10-145d-421, 422	Hartford, CT 06115-0471
	Regs. 10-145d-421, 422	www.ct.gov/sde/cert
		www.ct.gov/sde/cert

APPLICATION FOR DURATIONAL SHORTAGE AREA PERMIT (DSAP)

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

LAST NAME

FIRST NAME

˗ ˗

SOCIAL SECURITY NUMBER

ADDRESS (Street ONLY, no P.O. Box)

CITY

ZIP CODE

MIGENDER ˗ ˗

BIRTH DATE (Month-Day-Year) - Required

APT. #

(State)

FORMER LAST NAME(S)

PHONE

(Home/Cell)

Race/Ethnicity

(Work)

(Optional)

E-MAIL ADDRESS

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

YES

Have you been dismissed for cause from any position?

YES

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

YES

(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?

1.Native American

2.Asian/Pacific Islander

3.Black

4.White

5.Hispanic

Pursuant to Connecticut General Statutes Section 10-221d, the State Board of Education must submit, periodically, a database of applicants for an initial issuance of a certificate, authorization or permit to the State Police Bureau of Investigation for a criminal history record check. Each applicant seeking an initial issuance or renewal of a certificate, 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 criminal history records check the database of all persons who hold any certificate, 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 official copies of court or administrative record(s), including disposition of each case.

Original Signatures Must Be On The Form Submitted

PAGE 1

ED 177

PART II: EDUCATIONAL BACKGROUND

List the names of the colleges or universities attended:

		Dates Attended	Major Field	Degree
Name of Institution	State/Country	From To	of Study	Awarded

PART III: CANDIDATE ATTESTATION

I certify that the information provided by me on this application and any accompanying documents contains no material misrepresentations, falsifications 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 verified and that any material misrepresentation, falsification or omission may result in the denial or revocation of my certificate(s), permit(s) or authorization(s).

By checking the “I Agree” box, you agree your typed signature is the legal equivalent of your manual signature on this application.

I Agree

SIGNATURE OF CANDIDATE:

DATE:

PART IV:

SCHOOL OR DISTRICT REQUEST FOR FIRST ISSUANCE OF THE DSAP

1.No certified candidate suitable for the position is available to serve in the subject(s) requested. I hereby request issuance of a DSAP for the applicant to serve as:

		Endorsement Required for Position
Specific Subject or Field to be Taught
	Grade Level

(see endorsement code list)

Check box if bilingual endorsement is sought in above subject.

Indicate language of the bilingual endorsement

2.List the steps that have been taken to secure a suitable certified person, including dates and specific locations of newspaper, media, vacancy notices, university postings, Internet job positions, teacher agency listings, etc. Please note that advertisements must be within 6 months.

a. Total number of candidates who applied for this position:

b. Number of candidates who hold appropriate Connecticut certification:

c. Number of candidates interviewed for this position:

d.Reason(s) why certified candidates, if any, were not hired. Include any circumstances and conditions which make this position difficult to fill:

3.Indicate why a DSAP is requested for this particular uncertified applicant.

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

PAGE 2

ED 177

PART V: ATTESTATION AND SIGNATURE OF EMPLOYING AGENT

The candidate named on this application:

Has been or will be entered into the Connecticut State Department of Education (CSDE) electronic staff file Educator Data System (EDS), with an assignment code appropriate to the endorsement sought under the DSAP.

Will be given special attention in the form of supervision and other assistance, as appropriate.

Signature of Superintendent, Executive Director or Designee
		Date
attesting to accuracy of information
(Original Signature: No Signature Stamps Accepted)
Typed or Printed Name of Person Signing Above
		Title
School or District		Telephone
City	State Zip Code
		E-mail Address – School or District Contact
		Person

Fax

PAGE 3

ED 177

PART VI:

SCHOOL OR DISTRICT REQUEST FOR REISSUANCE OF THE DSAP

1. I hereby request reissuance of a DSAP for the applicant to serve as:

Specific Subject or Field to be Taught Grade Level Endorsement Required for Position

(see endorsement code list)

Check box if bilingual endorsement is sought in above subject.

Indicate language of the bilingual endorsement

PART VII: ATTESTATION AND SIGNATURE OF SCHOOL OR DISTRICT

The candidate named on this application:

Has completed a minimum of nine semester hours of credit in the subject or field requested during the validity period of the previous DSAP.

Has or will be entered into the CSDE Educator Data System (EDS), with an assignment code appropriate to the endorsement sought under the DSAP.

Has successfully served under the previously issued DSAP.

Will be given special attention in the form of supervision and other assistance, as appropriate.

An ED 177 Attachment is being submitted, if enrollment in a program is required for the endorsement.

Signature of Superintendent, Executive Director or Designee		Date
attesting to accuracy of information
(Original Signature: No Signature Stamps Accepted)
Typed or Printed Name of Person Signing Above
			Title
School or District		Telephone
City	State Zip Code
		E-mail Address – School or District Contact
			Person

Fax

PAGE 4

ED 177 – Attachment

REV. 9/20

CONNECTICUT STATE DEPARTMENT OF EDUCATION

Bureau of Educator Standards and Certification

P.O. Box 150471

Hartford, CT 06115-0471

www.ct.gov/sde/cert

EVIDENCE OF ENROLLMENT IN AN APPROVED EDUCATOR PREPARATION PROGRAM

NOTE: This ED 177 Attachment need not be completed if the candidate holds a valid Connecticut teaching certificate and is completing course work toward a cross endorsement (except for endorsements 102, 112, or 113).

PART A: Verification of Employment (this part must be completed by the employing agent)

Candidate’s Last Name	First Name		MI		Social Security Number
Position/Subject or Field
Position/Subject or Field		Grade Level		Endorsement Required for Position

(see endorsement code list)

Check box if bilingual endorsement is sought in above subject.

Indicate language for the bilingual endorsement

The candidate named above is being considered for a position which requires the completion of course work under a Durational Shortage Area Permit (DSAP).

Signature of Superintendent, Executive Director or Designee			Date
(Original Signature: No Signature Stamp Accepted)
Typed or Printed Name of Person Signing Above			Title
School or District			Telephone
City	State	Zip Code	E-mail Address – School or Disrict Contact Person

PAGE 5

ED 177 – Attachment (continued)

Name of Applicant:

PART B: Evidence of Enrollment or Application to an Approved Planned Educator Preparation Program

Evidence of Enrollment for Admission to an Approved Planned Educator Preparation Program

The above-named candidate is currently enrolled in or has applied and been accepted for admission to a approved planned program leading toward the institution’s recommendation for certification in:

Position/Subject or Field

Grade Level

Date of Enrollment or Date of Acceptance into the Program

Total number of semester hours of credit required to complete this certification program:

Number of semester hours of credit the candidate has already completed:

PART C: Attestation and Signature of the Certification Officer or the Academic Director of the Alternate Route to Certification (ARC) Program

Signature of Certification Officer or			Date
Academic Director of the ARC Program
Typed or Printed Name of Person Signing Above
				Title
Educator Preparation Provider (College, University, ARC)			Telephone
City	State	Zip Code
			E-mail Address

Mail Completed Form To:

CONNECTICUT STATE DEPARTMENT OF EDUCATION

Bureau of Educator Standards and Certification

P.O. Box 150471

Hartford, CT 06115-0471

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

PAGE 6

Click for Connecticut Ed 177 PDF

Document Overview

Fact Name	Detail
Purpose of Form ED 177	Application for first issuance or reissuance of the Durational Shortage Area Permit (DSAP), enabling schools or districts to fill positions when no certified candidate is available.
Governing Laws and Regulations	Connecticut General Statutes (C.G.S.) 10-145 and C.G.S. 10-145d, and Regulations 10-145d-421, 422.
Eligibility Requirements	Candidates must submit official transcripts showing completion of specified semester hours of credit in the subject area of the DSAP request and, if applicable, a bachelor’s degree.
Application Process	The employing agent (school or district official) must submit the completed application form along with the required documentation to the Bureau of Educator Standards and Certification. The application cannot be initiated by the candidate.
Additional Provisions for Candidates	Candidates may be required to submit an "Evidence of Enrollment" form as part of their application, depending on their certification status and completion of certain coursework or experience.

Instructions on How to Fill Out Connecticut Ed 177

Filling out the Connecticut ED 177 form is necessary for obtaining a Durational Shortage Area Permit (DSAP), a crucial step for educators intending to fill positions in subject areas where there is a recognized shortage of qualified candidates. This permit allows schools or districts facing such shortages to hire individuals who, while not fully certified in the desired subject area, have demonstrated partial qualification and are enrolled in a program to complete their certification. The process requires careful attention to detail to ensure all parts of the application are accurately completed and all necessary documentation is provided. Below are the steps to guide you through filling out the form ED 177 for the first issuance of the DSAP.

Start by completing Part I, which requests your personal information. Print all answers in blue ink and use uppercase letters for legibility. This part includes your last name, first name, social security number, address, gender, birth date, former last names if any, phone numbers, race/ethnicity (optional), and email address.
Answer the questions in Part I regarding any criminal convictions (excluding minor traffic violations), dismissals for cause from any position, and any disciplinary actions against professional credentials you may have faced.
For any question that you answer "YES" to in Part I, attach a separate signed statement that explains the incident or incidents in detail. Include official copies of court or administrative records, including the disposition of each case.
In Part II, provide your employment information. This section requires details about your job title, the subject area for which you are seeking a DSAP, and your employing school or district's information.
Complete Part III, which is focused on your education and professional preparation. Attach official transcripts showing at least 12 semester hours of credit in the subject area for which the DSAP is requested. If this is your first certification in Connecticut, you must also include an official transcript showing the completion of a bachelor’s degree.
If applying for reissuance of the DSAP, follow a similar approach, adjusting the parts you fill out according to the instructions provided for reissuance, and attaching official transcripts showing at least nine semester hours of credit completed during the validity period of the previous DSAP in the requested subject area.
School or district officials must complete Parts IV and V for the first issuance or Parts VI and VII for the reissuance of the DSAP, plus the “Evidence of Enrollment” form (Attachment), as applicable. If required, return the Attachment to the candidate for signature by the appropriate higher education official where the candidate is enrolling in a teacher preparation program or alternate route to certification program.
Educator preparation providers must fill out parts B and C of the “Evidence of Enrollment” form, as applicable. This step ensures that all necessary information regarding the candidate’s enrollment in certification or endorsement programs is properly documented.

After completing these steps, review the entire application for accuracy before submitting it to the Connecticut State Department of Education. Make sure all necessary signatures are on the form and that all supplemental documents, such as transcripts and court records, are attached. Submitting a complete and accurate application is crucial for the expeditious processing of your DSAP application.

More About Connecticut Ed 177

What is the ED 177 form used for in Connecticut?

The ED 177 form is specifically designed for the application for the first issuance or reissuance of the Durational Shortage Area Permit (DSAP) in Connecticut. Schools or districts when faced with a challenge of not being able to fill a position with an appropriately certified candidate, may request this permit. This allows the hire of an individual on a temporary basis while they complete the necessary requirements for full certification.
Who initiates the application process for a DSAP?

Unlike typical applications, the candidate themselves cannot initiate the application process for a DSAP. Instead, the employing agent of the school or district must submit the ED 177 form and any required supporting documentation to the Bureau of Educator Standards and Certification.
What are the major requirements for an applicant under the DSAP application?

Applicants are required to fill specific parts of the application form (Parts I, II, and III for first issuance; additional requirements may apply for reissuance). They must also attach official transcripts showing completion of a specified amount of credit hours in the subject area for which the DSAP is requested. For a first issuance, transcripts showing completion of at least 12 semester hours are needed, and for a reissuance, at least nine semester hours of credit during the validity period of the previous DSAP are necessary.
Is separate documentation required for proving enrollment in a teacher preparation program?

Yes, the "Evidence of Enrollment" form, which is an attachment to the ED 177 form, is required. This form must be completed and submitted separately. It verifies the candidate's enrollment in a teacher preparation program or an Alternate Route to Certification program. It's notable that this attachment form does not need to be completed if the candidate already holds a valid Connecticut educator certificate and is completing coursework under a DSAP for certain qualifications.
Can the DSAP be reissued?

A DSAP can indeed be reissued. The process requires the submission of the ED 177 form prior to the first day of employment for the period the reissuance covers. The candidate must complete specific parts of the application form designated for reissuance and attach official transcripts proving the completion of required credit hours during the validity period of their previous DSAP.
What roles do Educator Preparation Providers play in the DSAP application process?

Educator Preparation Providers are required to complete parts of the "Evidence of Enrollment" form (Part B and Part C, if applicable), which is part of the application process. This involvement is critical for candidates who do not already hold a valid Connecticut educator certificate or those without 20 school months of teaching experience in an approved nonpublic school, in demonstrating enrollment in appropriate coursework under a DSAP.
How does one prove successful teaching experience, if required?

For certain sections of the DSAP eligibility requirements, candidates may demonstrate eligibility through 20 school months of successful teaching experience in the subject area or field for which the educator certificate will be requested. This experience must have occurred in the same approved nonpublic school. Documentation or verification from the school may be required to confirm the experience meets the specified criteria.

Common mistakes

Filling out the Connecticut ED 177 form, which is an application for the first issuance or reissuance of the Durational Shortage Area Permit (DSAP), requires careful attention to detail. However, several common mistakes can occur during this process, leading to unnecessary delays or issues with the application. Understanding these mistakes can help applicants and school officials ensure a smoother process.

One typical mistake involves incomplete or incorrect personal information in Part I of the form. Applicants must fill out all requested information in blue ink and uppercase letters, including providing a physical street address instead of a P.O. Box, which is a frequently overlooked requirement. Ensuring accuracy in personal details such as the social security number, birth date, and contact information is crucial for the timely processing of the application.

Another area where errors often occur is in the attachment and submission of official transcripts. For initial DSAP issuance, candidates must attach official transcripts showing at least 12 semester hours of credit in the subject for which the DSAP is requested, in addition to a bachelor's degree transcript if the candidate has never held certification in Connecticut. For reissuance, official transcripts must show completion of at least nine semester hours of credit during the validity period of the previous DSAP in the relevant subject area. Failing to provide these documents, or submitting unofficial transcripts, can significantly delay the process.

The form also requires specific actions from school or district officials and educator preparation providers, and mistakes here can stem from overlooking parts IV and V (or VI and VII for reissuance) and the “Evidence of Enrollment” form ED 177 (Attachment). School or district officials must complete these sections and ensure the candidate has signed the attachment if required. Not completing these sections or failing to submit the attachment when necessary can lead to incomplete applications.

Lastly, applicants and school officials sometimes fail to review and verify eligibility criteria thoroughly before submitting the application. The ED 177 form outlines specific requirements for the issuance and reissuance of the DSAP, including detailed instructions for candidates, school/district officials, and educator preparation providers. Overlooking these instructions, such as the need for certain candidates to enroll in a teacher preparation program or the Alternate Route to Certification program, can result in applications being rejected or returned for correction.

Complete all sections with correct and complete personal information.
Attach the required official transcripts.
Ensure all necessary parts of the form are completed by school or district officials and educator preparation providers.
Review and verify all eligibility and instruction criteria before submission.

Avoiding these mistakes not only facilitates a smoother application process but also helps ensure that candidates can proceed with their teaching appointments without unnecessary delays.

Documents used along the form

When applying for a Durational Shortage Area Permit (DSAP) in Connecticut through the ED 177 form, it's often necessary to include additional documents to support the application. These documents play a crucial role in illustrating the candidate's qualifications, experience, and eligibility for the permit. Here is a brief overview of four other forms and documents typically used alongside the Connecticut ED 177 form:

Official Transcripts: These are required to demonstrate the completion of at least 12 semester hours of credit in the subject area for which the DSAP is requested, as well as a bachelor’s degree if the candidate has never held certification in Connecticut. Official transcripts provide verification of the academic qualifications of the candidate.
Evidence of Enrollment form ED 177 (Attachment): This document must be completed by the educator preparation provider if the candidate is enrolling in a teacher preparation program or the Alternate Route to Certification program. It serves to confirm the candidate's enrollment and ongoing commitment to fulfilling the necessary education requirements.
Signed Statement of Explanation: If the candidate answers "YES" to any of the questions regarding past convictions, dismissals from positions, or any disciplinary action related to professional credentials, a detailed statement along with official court or administrative records must be attached. This provides clarity and context about the incidents, allowing for a comprehensive review.
Valid Connecticut Certificate: For applicants who are already certified in Connecticut and are completing coursework under a DSA to fulfill requirements for a cross endorsement or have teaching experience, a copy of their current Connecticut educator certificate may be required. This demonstrates that the candidate has previously met certain standards of professional preparation and competency.

The process of applying for a Durational Shortage Area Permit is thorough, with the Connecticut State Department of Education requiring specific documentation to ensure candidates meet all necessary qualifications and legal standards. These additional documents, used in conjunction with the Connecticut ED 177 form, help provide a complete picture of the candidate's credentials, experiences, and readiness to contribute effectively in a teaching capacity.

Similar forms

The Connecticut Ed 177 form, which is utilized for the application and issuance of the Durational Shortage Area Permit (DSAP), bears resemblance to various other forms and processes within the educational and certification spheres. While each document serves a distinct purpose, their structural framework and requisite depth of information share common grounds, making them understandable comparatives in the field of education certification.

The Teacher Certification Application forms across different states, for instance, are conceptually similar to the Connecticut Ed 177 form. Like the Ed 177, these applications are designed for individuals seeking credentials to teach within a state's public schools. The forms typically require personal identification details, educational background, evidence of program completion, and specifics about the type of certification or endorsement the applicant is seeking. The similarity lies in their foundational aim to evaluate the qualifications and suitability of candidates against the standards set by a state's Department of Education.

The Emergency Certification Application forms, particularly relevant in states facing teaching shortages in specific subject areas or locales, also parallel the DSAP's Ed 177 form in Connecticut. These forms are employed when there's an urgent need for teachers and traditional certification routes cannot timely fulfill the demand. Like the DSAP application, emergency certification forms necessitate submissions of completed education, specific qualifications, and occasionally, attestations by employing schools or districts acknowledging no suitable certified teacher was available. The critical shared aspect is their stopgap measure to address immediate educational needs while maintaining some quality standard.

The Professional Teaching Permit (PTP) applications serve a similar purpose to the DSAP, thereby making the associated forms comparable. PTPs are often sought after by individuals who possess subject matter expertise but lack the traditional teaching credentials. The application process for a PTP, much like the Ed 177 form, involves the submission of detailed educational history, evidence of competency in the subject area (often through tests or verified professional experience), and the backing of a prospective or current employer. These parallels highlight the balance between leveraging specialized knowledge within classrooms and the regulatory frameworks ensuring qualified instruction.

Dos and Don'ts

When you are ready to fill out the Connecticut ED 177 form for the first issuance of a Durational Shortage Area Permit (DSAP), it's important to approach the process with attention to detail and thoroughness. Here are guidelines to ensure a smooth application process:

Do ensure you complete all relevant sections of the application form: Parts I, II, and III for candidates, and Parts IV and V for school or district officials.
Do attach official transcripts as required, showing the completion of at least 12 semester hours of credit in the subject area for which the DSAP is requested, along with a bachelor’s degree transcript if applicable.
Do use blue ink and write in uppercase letters when filling in personal information.

Do make sure original signatures are on the form when submitting.

Similarly, certain actions should be avoided to prevent issues with your application:

Don't leave sections of the form incomplete. Ensure that all necessary parts are filled out accurately.
Don't submit unofficial or photocopied transcripts. Official transcripts are required to verify your qualifications.
Don't use P.O. Box addresses when a street address is required for personal information.
Don't neglect to disclose any past convictions, dismissals, or disciplinary actions related to professional credentials as required. Attach a signed statement of explanation for any "YES" answers.
Don't forget to check for the most current version of the form or instructions, as requirements may have changed.

Keeping these dos and don'ts in mind will help you complete the Connecticut ED 177 form effectively, ensuring that your application is processed smoothly without unnecessary delays.

Misconceptions

There are several misconceptions about the Connecticut Ed 177 form and the process it entails. Understanding these misconceptions is crucial for applicants and school districts to navigate the application process for the Durational Shortage Area Permit (DSAP) effectively. Here are four common misconceptions clarified:

Anyone can initiate the DSAP application process. Many believe that the process to apply for a DSAP can be started by the candidate themselves. However, this is inaccurate. The application for a DSAP must be initiated by the employing school or district seeking to fill a specific position that cannot be filled by an appropriately certified candidate.
The DSAP is effective immediately upon application. Another common misunderstanding is regarding the effective date of the DSAP. It is presumed that the DSAP becomes effective as soon as the application is submitted. In reality, the DSAP's effective date is the date the original Ed 177 form is received by the Bureau of Educator Standards and Certification, provided all requirements for issuance have been met by that date.
All candidates must submit 12 semester hours of credit in the subject area. This statement is partially true; however, it applies specifically to candidates applying for the first issuance of a DSAP. Candidates applying for reissuance of a DSAP are required to attach official transcripts showing the completion of at least nine semester hours of credit in the subject for which the DSAP is requested during the validity period of their previous DSAP.
Completion of the "Evidence of Enrollment" form is always necessary. While important, the necessity of this form varies based on specific conditions. If the candidate is completing coursework under a DSAP to fulfill requirements for a cross endorsement, or if the candidate has at least 20 school months of successful appropriate teaching experience in an approved nonpublic school or the same school, completing the “Evidence of Enrollment” form may not be required.

Correcting these misconceptions is essential for both educators seeking certification through the DSAP and the schools or districts employing them. The process entails specific steps and requirements that need to be accurately followed for a successful application, underlining the importance of understanding the intricacies involved in applying for and obtaining a Durational Shortage Area Permit in Connecticut.

Key takeaways

Filling out the Connecticut Ed 177 form, which is intended for the application for the first issuance or reissurance of the Durational Shortage Area Permit (DSAP), requires understanding specific instructions and details. Here are seven key takeaways to guide you through the process:

The DSAP is designed for situations where a school or district cannot fill a position with an appropriately certified candidate. This points towards the importance of the DSAP in addressing teacher shortages in critical areas.
An application for a DSAP must be initiated by the employing school or district, not the individual applicant. This emphasizes the role of educational institutions in the certification process.
The effective date of the DSAP is contingent upon the receipt of the original Ed 177 form, provided all requirements for issuance are met by that date. Timeliness and completeness of the application are crucial.
Candidates must attach official transcripts demonstrating completion of the required semester hours in the subject for which the DSAP is requested. This educational prerequisite highlights the necessity for candidates to have a foundational understanding of the subject matter.
There are specific parts of the form that both the candidate and the school or district official need to complete. The division of responsibilities in filling out the form ensures that essential information is provided by both parties.
The "Evidence of Enrollment" attachment is an important component of the application for individuals who are enrolling in a teacher preparation program or fulfilling requirements for a cross endorsement. This underlines the ongoing nature of professional development.
Each section of the Ed 177 form and its attachments must be diligently completed and submitted prior to the candidate's first day of employment. This prerequisite reinforces the need for advance planning and coordination among applicants, educational institutions, and the certification authority.

Understanding these key aspects of the Ed 177 form can streamline the DSAP application process, ensuring that candidates and employing agents meet all necessary requirements for certification in Connecticut.

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