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Click ‘Get Form’ to open the CA-1 form in the editor.
Begin with Section I, where you will enter your personal information. Fill in your Social Security Number, date of birth, last name, first name, middle name, and maiden name as required.
Indicate your gender and select the type of certificate requested in Section I.B. You can check multiple options if applicable.
In Section I.C., list all colleges attended along with their addresses and dates of attendance. Ensure to include total semester hours or degrees awarded.
If applicable, complete Section II regarding your teaching experience. Provide details about your employment history including school district, position, and employment dates.
Finally, review all sections for accuracy before submitting. Ensure that all required signatures are included in Section III and IV.
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