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Click ‘Get Form’ to open the experience report form in the editor.
Begin by entering your personal details in the 'Teacher Identifiers' section. Fill in your first name, middle/maiden name, last name, and at least one additional identifier such as your PIC number or MOECS Application number.
In the 'Certification of Full-Time Teaching Experience' section, provide the name and address of the school or school district where you taught full-time. Specify the dates of employment and indicate the grades and subjects you taught.
If applicable, complete the 'Certification of Less Than Full-Time/Intermittent Teaching Experience' section. Enter the total number of days taught along with relevant details about the school and subjects.
Select a rating for your service from the options provided: Successful or Unsuccessful. If you select Unsuccessful, be sure to provide an explanation on the reverse side of this page.
Finally, have your Superintendent or Chief Official sign and date the form. Ensure their name and title are typed or printed clearly.

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See more experience report form versions

We've got more versions of the experience report form form. Select the right experience report form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2020	4.2 Satisfied (55 Votes)
2018	4.8 Satisfied (162 Votes)
2012	4.4 Satisfied (549 Votes)

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