Adult Education Teaching Credential Application Form

Adult Education Teaching Credential Application

Please complete this form to apply for the Designated Subjects Adult Education Teaching Credential through the Santa Clara Unified School District (SCUSD). This application will prepare you to complete the requirements for the credential through the Commission on Teacher Credentialing (CTC).

Please note that CTC will collect a $100 fee.

The form will allow you to save at any time.

Please email the Adult Education Credentialing Program at [email protected] or call (408) 423-3503 if you have any questions.

Personal Information

Name(Required)
MM slash DD slash YYYY

Preliminary Credential Holders Only

I already have a preliminary credential and am interested in enrolling in the courses through SCUSD to complete the requirements for the clear credential. Please note: If you plan to work with your original program sponsor, LACOE, SCCOE, Ventura COE or CSU San Bernadino to clear your credential, you must have their approval of the course work provided by SCUSD prior to enrolling in the courses.
If yes, you can skip down to Adult Education Early Orientation Unit Completion section below.(Required)
If yes, you can skip down to Adult Education Early Orientation Unit Completion section below.

Adult School Referral

I have been referred by an adult school supervisor or administrator to participate in the Adult Education Credential Program.
(Required)
Please provide the name of the person who referred you.
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Eligibility for a Adult Education Teaching Credential

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View the information about the<a href="https://www.ctc.ca.gov/credentials/leaflets/designated-subjects-adult-credentials-(cl-697b)"><b>Designated Subjects Adult Education Teaching Credentials.</b></a>

High School or High School Equivalency Transcripts

Required for applicants who are applying for a credential for the first time. You do not need to submit you high school transcripts or high school equivalency certificate if you already have a sub credential or other type of credential, or you are submitting college or university transcripts with your application.
Please indicate how you will have your high school transcripts delivered to the Adult Education Credentialing Office:
Select a method to submit your high school transcripts:
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Credential Subject Areas

On the Designated Subjects Adult Education Teaching Credential CTC Webpage under Appendix A, I would like to have my work experience, associated documents and/or transcripts evaluated for the following subject areas:
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Subject Areas

Adult Education Teaching Credential Non-Academic Subject Areas

On the Designated Subjects Adult Education Teaching Credential CTC Webpage under Appendix A, I would like to have my work experience, associated documents and/or transcripts evaluated for the following subject areas:
General Subjects

Adult Education Teaching Credential Non-Academic Subject Areas - Career and Technical Education (CTE)

On the Designated Subjects Adult Education Teaching Credential CTC Webpage under Appendix A, I would like to have my work experience, associated documents and/or transcripts evaluated for the following CTE subject areas:
CTE Subjects

Work Experience Documentation

The Non-Academic General Subject areas require work experience. Experience may be paid or not paid. No more than one year of experience shall apply toward meeting designated subjects credential requirements during any twelve calendar month period. One-thousand (1000) clock hours shall be the minimum required for each year of experience. Part-time experience may be cumulated to equate to the required one-thousand clock hours of experience. Verification of experience means written confirmation of the applicant’s qualifying experience, signed by the applicant’s past or present employer(s) on company letterhead that attests to and/or includes all of the following:

  1. Employer’s name, address, and telephone number.
  2. The working relationship of the person signing the verification to the applicant.
  3. Beginning and ending dates of employment.
  4. Complete description of duties.
  5. A statement as to whether or not the employment was full-time (If employment was less than full-time, an accounting of the number of hours the applicant was employed is required).

If the applicant was self-employed or if the applicant’s experience was avocational, verification shall include a statement, signed by the applicant under penalty of perjury, detailing the information described in 1–5 above, and must be further substantiated, in writing, by other person(s) having firsthand knowledge of the applicant’s self-employment or avocation, such as the applicant’s accountant, major supplier of goods, or major user of goods or services.

Applicants for the Three-Year Preliminary Adult Education Teaching Credential in a general subjects area must have at least one year of actual work experience directly related to the subject to be named on the credential. At least one year of the required work experience must be within the last five years, or two years within the last ten years, immediately preceding the issuance of the preliminary credential.

Please upload your work experience and related documents below.

Drop files here or
Max. file size: 10 MB.

    Designated Subjects Adult Education Teaching Credential Academic Subject Area: Elementary and Secondary Basic Skills (ESBS) Applicants Only

    On the Designated Subjects Adult Education Teaching Credential CTC Webpage under Appendix A, I would like to have my transcripts evaluated for the following Academic Subject - ESBS to teach Arithmetic, Reading, Individualized high school learning lab/G.E.D./contract class settings, Citizenship.

    I possess a bachelor’s or higher degree completed at a regionally-accredited college or university and completion 20 semester units with at least 3 units in four of the following six areas:

    • English
    • Fine Arts
    • Life Science & General Science
    • Social Science
    • Mathematics
    • Languages Other than English
    ESBS Subject Area

    Designated Subjects Adult Education Teaching Credential Other Academic Subject Areas

    On the Designated Subjects Adult Education Teaching Credential CTC Webpage under Appendix A, I would like to have my transcripts evaluated for the following Academic Subjects -
    • Languages Other than English (specify)
    • English
    • Fine Arts
    • Life Science, including General Science
    • Mathematics
    • Physical Science, incl. General Science
    • Social Sciences

    I possess a bachelor's degree or higher completed at a regionally-accredited college or university and completion of 20 semester units or 10 upper division semester units in the subject to be taught.

    Designated Subjects Adult Education Teaching Credential Academic Subject Area: English as a Second Language (ESL) Applicants Only

    On the Designated Subjects Adult Education Teaching Credential CTC Webpage under Appendix A, I would like to have my transcripts evaluated to have English as a Second Language listed as a sbject areas on my adult education credential.

    I have a bachelor’s degree or higher completed at a regionally-accredited college or university which includes a degree major, certificate, OR completion of 20 semester units OR 10 upper division semester units in one or any combination of the following:
    • Teaching English as a Second Language (TESL)
    • Teaching English to Speakers of Other Languages (TESOL)
    • Second Language Acquisition
    • Language other than English, Linguistics
    • Bilingual/Bicultural Subjects.

    Please note there are no expections to these requirements.
    ESL Subject Area

    College and/or University Unofficial Transcripts

    In order to expedite the applicaton process, please upload a copy of your unofficial transcripts to show your eligibility for the Academic Subject area you've indicated above. These transcripts will be evaluated by credentialing staff to determine eligibility for the subject area: English as a Second Language, Elementary and Secondary; Basic Skills, etc. or one of the other academic areas listed above.
    College and/or University Official Transcripts
    Drop files here or
    Max. file size: 10 MB.

      College and/or University Official Transcripts

      Select a method to submit your official college and/or university transcripts:
      College and/or University Official Transcripts

      CTC Educator Account

      All teacher candidates must create or reactivate a Educator account at the CTC Online Login.
      I will create or update my Educator Account on the CTC website.(Required)

      Fingerprinting Requirement

      All teacher candidates must submit a copy of their fingerprints to the CTC. Please see the How to Apply - California Residents Section on the CTC's Certficate of Clearance website for more information.
      All teacher candidate must submit fingerprints to the CTC. Fingerprinting done for any other purpose cannot be used.

      Certificate of Clearance Requirement

      All teacher candidates must apply for a Cerificate of Clearance. Approximately 48 hours after you complete the fingerprinting, please login to your educator account and follow the instructions on the Apply for a Certificate of Clearance. Complete the process of creating a new certificate.
      All teacher candidate must submit fingerprints to the CTC. Fingerprinting done for any other purpose cannot be used.

      Adult Education Early Orientation Unit Completion

      All teacher candidates must completed an Adult Education Early Orientation Unit within 30 days of receiving their preliminary credential.
      I agree to complete the online, asynchronous Early Orientation Unit in CANVAS within the time limit specified. I understand that the link for the CANVAS course will be provided to me at the email account I included above.

      Evergreen Valley College Non-Credit Adult Education Pathway Application

      If you'd like to enroll in the Evergreen Valley College Adult Education Pathway at this time, please upload the completed application. The application should be downloaded to your computer, opened, completed, saved and then uploaded.
      Drop files here or
      Max. file size: 10 MB.

        Requirements for Clearing the Adult Education Credential

        I have reviewed the information on the CTC's DS Adult Education webpage. I understand that after I receive my preliminiary credential, I have 3 years from the date of the credential issuance to complete the following and clear the credential.
        Please indicate your acknowledgement of the requirements to clear the credential by checking each box below.

        Credential Verification Form

        Download the Credential Verification Form. The form should be downloaded to your computer, opened, completed, saved with a different name and then uploaded.
        Drop files here or
        Max. file size: 10 MB.

          Credential expiration within 3 years

          I understand that if I do not complete these requirements within 3 years of the date the credential is issued., my credential will expire.(Required)

          Authorization to release information to Adult School and District Personnel

          Adult School and School District personnel sometimes reach out to us regarding information about your credential status. It is typically done to expedite your employment. Your Social Security Number will never be shared.
          Authorization
          This field is for validation purposes and should be left unchanged.
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