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Ed175 2026

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4.9 out of 5

45 votes

The document is an application form from the Connecticut State Department of Education for extending substitute teacher authorization beyond the 40-day limit. It includes sections for personal information, educational background, applicant attestation, and employing agent information. The form requires details about the applicant's education, criminal history, and reasons for needing an extension, along with supporting documentation. It outlines the necessary steps and requirements for both the applicant and the employing agent to complete the application process.

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Click ‘Get Form’ to open the ed175 application in the editor.
Begin with Part I: Personal Information. Fill in your last name, first name, middle initial, social security number, gender, birth date, address, phone numbers, former last names, email address, and race/ethnicity if desired. Ensure all information is printed clearly.
Proceed to Part II: Educational Background. List all educational institutions attended along with dates and degrees awarded. Attach any required transcripts verifying your qualifications.
In Part III: Applicant Attestation, certify that all provided information is accurate by signing and dating the form.
Complete Parts IV and V for Employing Agent Information and Attestation. Include details about the substitute teaching assignment and attach necessary documentation as specified.

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Versions	Form popularity	Fillable & printable
2012	4.9 Satisfied (45 Votes)

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