Credential Forms and Documents
Updated on May 20, 2013
If you have been asked to fill out a form that is not listed here, please call the specified department or contact the CSSC at (510) 885-2272 or via email at credentials@csueastbay.edu.
General Forms and Documents
- Adding a Credential to an Existing Credential (Added Authorization) Memo and Chart of Requirements
and CSUEB Class Schedule
- To file for the Added Authorization, apply direct to CTC
- Application to California State University (CSU Mentor Application)
- Application Process for All Credential Completers: Steps to Filing for Your Credential
- Basic Skills Requirement
- Certificate of Clearance Process (fingerprint clearance) - rev. 6/7/12 and Official CTC Live Scan Form - [Do not open with Firefox] rev. by CTC 7/1/11
- Credential Completer Application - We will start accepting credential applications on June 3, 2013 from candidates who are finishing their credential coursework in spring quarter.
- Credential Processing Receipt For each credential document, print and submit two completed forms and one fee. We have placed both forms on one page for your convenience.)
- CSET Preparation offered through ACOE for more information: Multiple Subject Mathematics
- CSU Exit Survey (required for TED, TEDSPED, SPED completers; submit the submission receipt page along with your credential application packet)
- Examinations for California Educators (CTC link)
- Foreign Transcript Evaluation Requirement for Credential Candidates (includes a list of approved agencies)
- Glossary of Credential Terms
- Prior Experience Verification Form (Teaching) rev. 11-21-12
- Procedure to Request a Letter of Good Standing
- Procedure to View Documents in a Credential File
- Request Form for Documents in a Credential File
- Subject Matter Authorizations
- Supplementary Authorizations (for already-credentialed Multiple Subject holders)
- Supplementary Authorizations (for already-credentialed Single Subject holders)
- Verification of Experience Form (link to official CTC form CL-41EXP); submit to CSSC, if required for your credential document
For returning credential candidates, please contact your department first about admissions requirements.
Forms and Documents Related to Multiple Subject and Single Subject Teaching Credentials
Prospective Students:
-
2013 - Summer TED Admissions Hanbook
-
Important information about U.S. Constitution requirement
-
2013 - Winter TED Admissions Handbook rev. 12-11-12
- 2012 - Winter/Summer TED Admissions Handbook
- Candidates with Foreign Coursework - Summary of Admissions Requirements
- Checklist for the Multiple Subject or Single Subject Admissions Packet
- Credential Information Session Presentation - (For Summer 2012) - rev. 1-29-13
- Credential Information for CSUEB Physical Education Students (PDF Version) (For Summer 2012)
- Foundational-Level Science Added Authorization 2012 informational handout
- Prior Experience Verification Form rev-11-21-12
- Statement of Purpose Coversheet
- Subject Matter Program Waiver Information for Foundational-Level Mathematics
- Subject Matter Program Waiver Information for Mathematics
- Subject Matter Program Waiver Information for Physical Education
- Subject Matter Program Waiver Information for Social Science
Current Students:
-
2013 - Winter Program Handbook for Admitted Candidates
-
2012 - Summer Program Handbook for Admitted Candidates
- Student Teaching Placement Information for Summer 2013 entry (2nd Placement)
- Student Teaching Placement Information for Winter 2013 entry (multiple subject only)
- 2012 / 2013 Credential Courses for Spring 2013 quarter all teams
- 2012 / 2013 Credential Courses for Winter 2013 quarter all teams rev. 12/07/2012
- 2012 / 2013 Credential Courses (full year) All Teams rev.06/07/2012
- 2012 / 2013 Method Course for Single Subject (full year) rev. 06/20/2012
- 2012 / 2013 TED Orientation Presentation rev. 12-11-12
- 2011 / 2012 Credential Course Spring Schedule Mult Subj Single Subj
- 2011 / 2012 Credential Course Winter Schedule - rev. 1-05-12 Mult Subj Single Subj Single Subj Methods Courses Wi 12
- 2011 / 2012 Credential Course Fall Schedule - rev. 8-9-11 Mult Subj Single Subj Single Subj Methods Courses Fa 11
- 2011 / 2012 Credential Course Summer Schedule for All Teams - rev 6-14-11 Single Subj Methods Courses Su 11 - rev 6-13-11
- 2011 / 2012 Handbook Overview for Master Teachers
- 2011 Student Teaching - rev. 8/9/11
- 2011 / 2012 TED Orientation Presentation
- 2011 / 2012 TEDSPED Orientation Presentation
- 2011 / 2012 Program Handbook for Admitted Candidates
- Application for Intern Status - rev. 6/24/10
- Candidate Binder Requirements
- Candidate Information on the CalTPA
- Credential Application for Internship or Preliminary Multiple/Single Subject Teaching Credential
- Credential Completer Information Sheet (Contains link to all pertinent forms) - rev. 7/1/11
- Early Completer Option (ECO) and the Teaching Performance Assessment
- Instruction Sheet for Internship Multiple/Single Subject Teaching Credential - rev. 6/29/12
- Instruction Sheet for Preliminary Multiple/Single Subject Teaching Credential - rev. 6/29/12
- Intern Alternate Grade Experience - Assessment of Intern Form
- Intern Alternate Grade Experience - Final Report
- Sheltered English Instruction Form - for Single Subject Candidates
- "Standard 13" English Learner Form - for both Multiple/Single Subject Candidates
- Summative Evaluation Form - for Multiple Subject Candidates
- Summative Evaluation Form - for Single Subject Candidates
- TIPAC Form (required for all Multiple Subject and Single Subject Interns in Alameda County, not Special Education)
Alumni:
Forms and Documents Related to Reading Certificate or Reading Credential
Prospective Students:
Current Students:
- Credential Application for Reading Credential
- Instruction Sheet for Reading Credential - rev. 6/29/12
- Verification of Experience
Alumni:
Forms and Documents Related to Clear Credential
Prospective Students:
Due to budget constraints, we are currently not accepting any new students into the Clear Credential program. Please feel free to check back in the future about new information. The Clear Credential Program, once available, will be offered through the Teacher Education Department.
For more information about the Clear Credential Program, visit the CTC website. Below are frequently requested links:
- BTSA Induction video (as seen posted on YouTube) -- overview of the Beginning Teacher Support and Assessment system in CA
- Routes to Earn a Clear Multiple or Single Subject (SB 2042) Credential - rev. 8/22/11
- Extensions for Preliminary Multiple and Single Subject Teaching Credential Holders (SB 2042 only)
Current Students:
- Credential Application for Clear Credential
- Instruction Sheet for Clear Credential - please contact CSSC.
Alumni:
Forms and Documents Related to Administrative Services Credentials
Prospective Students:
Current Students:
- 2010 / 2011 Program Handbook
- Administrative Services Credential Completer Info Sheet - for Preliminary and Certificate of Eligibility
- Administrative Services Credential Completer Info Sheet - for Clear
- Administrative Services Credential Completer Overview Presentation
- Credential Application for All Types of Administrative Services
- Instruction Sheet for All Types of Administrative Services - rev. 6/29/12
- Program Completion Form for Tier II
- Verification of Employment as an Administrator Form CL-777 (Required for Internships and Preliminary Applications)
- Verification of Experience Form 41-EXP (verification of teaching experience)
Alumni:
Forms and Documents Related to Special Education Credentials
Prospective Students:
- Admissions Handbook and Application for Education Specialist Instruction Credential Program
- Admissions Recruitment Session - for Credentials and Master's Degrees in Special Education - 12/15/10 at 5pm, Room: AE 123.
Pre-registration is requested but not required, email: Dr. Ann Halvorsen, ann.halvorsen@csueastbay.edu. - Candidate Handbook for Mild to Moderate Disabilities Program - rev 8/6/11
- Overview of Special Education Programs
- Admissions Checklist rev. 4-9-13
- Application for previous students
- Statement of Purpose
- Letters of Recommendation
Current Students:
- 2011 / 2012 SPED Orientation Presentation
- Candidate Handbook for Mild to Moderate Disabilities Program - rev 8/6/11
- Credential Application for Education Specialist Instruction Credential - rev 8/9/12
- Instruction Sheet for Education Specialist Instruction Credential - rev. 6/29/12
- Verification of Experience Form 41-EXP
Alumni:
Forms and Documents Related to Pupil Personnel Services Credentials (School Counseling)
Prospective Students:
- Fall 2012 Admission Orientation Sessions (pre-registration requested)
- Frequently Asked Questions
- School Counseling Admissions Application Requirements (includes MS Counseling)
- School Counseling and School Psychology Application Overview
Current Students:
- Credential Application for Pupil Personnel Services Credential - rev. 08/08/12
- Instruction Sheet for Pupil Personnel Services Credential - rev. 6/29/12
- School Counseling Credential Completer Information Sheet
- School Counseling PPS Credential Completer Overview Presentation
Alumni:
Forms and Documents Related to Pupil Personnel Services Credentials (School Psychology)
Prospective Students:
- Fall 2012 Admission Orientation Sessions (pre-registration requested)
- Frequently Asked Questions
- School Psychology Admissions Application Requirements (includes MS Counseling)
- School Counseling and School Psychology Application Overview
Current Students:
- Credential Application for Pupil Personnel Services Credential - rev. 08/08/12
- Instruction Sheet for Pupil Personnel Services Credential - rev. 6/29/12
- School Psychology Credential Completer Information Sheet
- School Psychology PPS Credential Completer Presentation
Alumni:
Forms and Documents Related to Speech-Language Pathology Services Credential
Prospective Students:
Current Students:
- Credential Application for Speech-Language Pathology Services - rev. 08/08/12
- Instruction Sheet for Speech-Language Pathology Services - rev. 06/29/12
- Speech Language Pathology Credential Completer Presentation
Alumni:
