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Click ‘Get Form’ to open the ed170 in the editor.
Begin with Part I: Personal Information. Fill in your last name, first name, social security number, and other required fields using uppercase letters. Ensure all information is printed clearly.
In Part II, list the certification endorsements you are requesting. Refer to the enclosed code list for accurate endorsement numbers.
Proceed to Part III: Educational Background. Enter the names of colleges or universities attended, along with your major field of study and graduation year.
In Part IV, provide details about your teaching or administrative experience over the last ten years. Include job titles and subjects taught.
Complete Part V regarding any out-of-state certificates held. Attach copies as required.
Finally, sign and date the Applicant Attestation in Part VII to certify that all information is accurate.
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Pursuant to Connecticut General Statutes Section 10-232d, the State Board of Education must submit, periodically, a database of applicants for an initial.Read more
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