Connecticut state department of education ed170a fillable form 2026

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  1. Click ‘Get Form’ to open the Connecticut ED170A form in the editor.
  2. Begin by filling out your personal information in uppercase letters using blue ink. This includes your last name, first name, middle initial, gender, birth date, and social security number.
  3. Provide your address details including street, apartment number (if applicable), city, state, and zip code. Ensure all information is accurate.
  4. Answer the questions regarding any criminal convictions or professional dismissals. If you answer 'YES' to any question, prepare a signed statement of explanation as required.
  5. Complete the section for the higher education institution's recommendation. This must be signed by an authorized official and include the institution's seal.
  6. Attach official transcripts and ensure that you include the $200 application fee via money order or cashier’s check before submitting your application.

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