Applications, Checklists, & Forms

Initial Teacher Two/Three-Year Checklist (docx)
Applicants who are new to the profession or new to Alaska use the standard application, the program verification form, and this checklist to apply.

Initial Teacher Out-of-State Checklist (docx)
Applicants applying for their first Alaska certification who hold a valid out-of-state teaching certificate use the standard application and this checklist to apply.

Initial Teacher Program Enrollment Checklist (docx)
Applicants holding a bachelor’s degree and have enrolled in a state-approved teacher preparation program use the standard application, the proof of program enrollment form, and this checklist to apply. Applicants must be sponsored by an Alaska school district.

Second Initial Teacher Application & Checklist (docx)
Applicants who have previously held an Initial teaching certificate but who have not satisfied the two years of teaching experience requirement for the Professional teaching certificate use this application and checklist to apply.

Professional Teacher Checklist (docx)
Applicants who met the requirements for the Professional certificate, use the standard application, the program verification form, and this checklist to apply

Master Teacher Checklist (docx)
Applicants who hold national board certification and who have met the requirements for the Professional certificate, use the standard application and this checklist to apply.

Teacher Re-Employment Application & Checklist (docx)
For applicants whose teaching certificate expired more than one year ago.

Renewal or Reinstatement Application & Checklist (docx)
Applicants who hold a 5 or 10-year certificate, or a 5-year certificate which has been expired less than one year use this application and checklist to apply. Renewal applications may be submitted one year prior to the expiration date of the certificate being renewed. Applicants can also file an application through the Online Renewal link.

Applicants who are eligible for the reinstatement of a Professional or Master Teacher certificate cannot apply for the Initial or the Second Initial teacher certificate.

Standard Application (docx)
Applicants use the appropriate checklist and this application to apply for a teacher, administrative, or special service provider certification. A complete application packet includes a standard application, a specific certification checklist and other supporting documents and forms.

Initial Administrative (TYPE B) Checklist (docx)
Applicants who are new to the profession or new to Alaska use the standard application, the program verification form, and this checklist to apply.

Regular Administrative (Type-B) Application & Checklist (docx)
For applicants who hold an Initial or Reemployment Administrative certificate, who have met all requirements for the Regular 5-year certificate. This application does not apply to teaching or special service certificates, only to administrative (Type B) certificates.

Administrative Re-Employment Application & Checklist (docx)
For applicants whose administrative certificate expired more than one year ago.

Renewal or Reinstatement Application & Checklist (docx)
Applicants who hold a 5 or 10-year certificate, or a 5-year certificate which has been expired less than one year use this application and checklist to apply. Renewal applications may be submitted one year prior to the expiration date of the certificate being renewed. Applicants can also file an application through the Online Renewal link.

Standard Application (docx)
Applicants use the appropriate checklist and this application to apply for a teacher, administrative, or special service provider certification. A complete application packet includes a standard application, a specific certification checklist and other supporting documents and forms.

Initial Special Services (TYPE C) Checklist (docx)
Applicants who are new to the profession or new to Alaska use the standard application, the program verification form, and this checklist to apply.

Regular Special Services (Type-C) Application & Checklist (docx)
For applicants who hold an Initial or Reemployment Special Services certificate, who have met all requirements for the Regular 5-year certificate. This application does not apply to teaching certificates or administrative, only to special services (Type C) certificates.

Advanced Special Services (Type-K) Application & Checklist (docx)
For holders of a current 5-year Type C certificate who also hold National Board Certification and wish to apply for the Advanced Certificate, as well as for current Advanced certificate holders wishing to renew their Advanced Type C certificate.

Special Services Re-Employment Application & Checklist (docx)
For applicants whose special services certificate expired more than one year ago.

Renewal or Reinstatement Application & Checklist (docx)
Applicants who hold a 5 or 10-year certificate, or a 5-year certificate which has been expired less than one year use this application and checklist to apply. Renewal applications may be submitted one year prior to the expiration date of the certificate being renewed. Applicants can also file an application through the Online Renewal link.

Standard Application (docx)
Applicants use the appropriate checklist and this application to apply for a teacher, administrative, or special service provider certification. A complete application packet includes a standard application, a specific certification checklist and other supporting documents and forms.

Limited Type-M Career and Technical Education Checklist (docx)
For applicants to whom a Baccalaureate teacher preparation in the specialty areas of Career and Technical Education is not available. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District.

Limited Type-M Alaska Language/Military Checklist (docx)
For applicants to whom a Baccalaureate teacher preparation in the specialty areas of Alaska Native Language/Culture or Military Science is not sufficiently available. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District. 

Limited Type-M Renewal Application & Checklist (docx)
For holders of a Type M certificate whose employing school district wishes to renew it. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District. 

Limited Type-I Checklist (docx)
For applicants nominated by their school districts in completing the statutory requirements for full teacher certification. The certificate coordinates the efforts of the applicant, the nominating district, and an approved teacher preparation program toward the applicant’s completion of a baccalaureate degree, an approved teacher preparation program, and passage of the Praxis I examination within a four-year time frame beginning with the 2004-2005 school year. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District. 

Limited Type-E Checklist (docx)
For applicants who help in preschools or as instructional aides in public school primary classes. A Standard Application must be completed and submitted with this checklist.

Limited Type-W Checklist (docx)
For applicants holding a bachelor’s degree, are fluent in a foreign language, and have enrolled in a state-approved teacher preparation program. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District. 

Limited Type-B Superintendent Checklist (docx)
For applicants who are working towards completing a Superintendent endorsement program. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District. 

Special Education Waiver Application & Checklist (docx)
For those who have a current Regular 5-year Type A, Regular 5-year Type C, Initial certificate, or Professional certificate and also have current enrollment in an approved special education teacher preparation program. By district request ONLY. A Standard Application must be completed and submitted with this checklist, as well as a District Request and Assurance form completed by the sponsoring Alaska School District. 

District Request & Assurance Form (docx)
To be completed by the school district office and submitted along with the application and Checklist for Limited Type B, E, I, M, W certificates, as well as the Emergency Special Services Application, Initial Proof of Program Enrollment and Special Education Waiver.  Requirements of each district-sponsored application type will vary.  All of these certificate types are by district request ONLY.

Emergency Teacher or Administrator Certification Application & Checklist (docx)
For applicants who are unable to satisfy one or more of the following requirements of an Initial Teaching Certificate or an Initial Type B Administrative Certificate (Provisional): completion or enrollment in an approved preparation program, basic competency or content area exam, or completion of a bachelor’s or master’s degree. By district request ONLY.  The application and checklist must be completed and submitted with supporting documents; including the District Request and Assurance—Emergency Certificate Form completed by the sponsoring Alaska School District. 

District Request & Assurance for Emergency Certification (docx)
To be completed by the school district office and submitted along with the application, checklist, and other supporting documents for the Temporary Emergency Certificate. 

Standard Application (docx)
Applicants use the appropriate checklist and this application to apply for a teacher, administrative, or special service provider certification. A complete application packet includes a standard application, a specific certification checklist and other supporting documents and forms.

Add/Remove Teaching Endorsement (docx)
For holders of a teaching certificate who wish to add or remove, one or more endorsements. (An individual who applies for an Initial teacher certificate with a valid out-of-state certificate must have an Institutional or State recommendation on file with the Teacher Certification Office to be eligible to add an endorsement.)

Add/Remove Administrative Endorsement (docx)
For holders of a administrative certificate who wish to add or remove, one or more endorsements.

Add/Remove Special Services Endorsement (docx)
For holders of a special services certificate who wish to add or remove, one or more endorsements.

Background Check Form (docx)
Submit one fingerprint card prior to submitting your completed application. If the certification application is received within 90 days of the background check submission, the application packet will not require an additional fingerprint card.

Duplicate Certificate/Postcard Request (docx)
Request a duplicate copy of your teaching, administrative, or special services certificate. You may also use this form to request a duplicate copy of your yellow postcard. Only an applicant who is required to submit a fingerprint card at the time of application is sent a yellow postcard. Postcards are not sent to student teachers and individuals applying for lifetime certificates.

Expired Initial Certificate Continuation Request (docx)
If the unmet requirements for an expired Initial certificate have been satisfied, an individual may use this form to request the continuation of the certificate. Only expired Initial certificates that were issued less than three years ago are eligible for a continuation request.

Initial Teacher Extension Request Form (docx)
If the requirements for the extension of a current Initial certificate have been satisfied, an individual may use this form to request the extension of the certificate’s expiration date. The requirements must be submitted to the Teacher Certification Office on or before to the expiration date of the certificate.

Mandatory Training Record Form (docx)
Submit this form with your certification application to document the four mandatory training required beginning June 30, 2017.

Name/Address Change Form (docx)
Notify the Teacher Certification Office if your name and/or address has changed. You can change your address electronically.

Non-academic Credit Pre-approval for Sponsors (docx)
Sponsors of institutes or workshops may request pre-approval for the participants of their institutes or workshops to earn non-academic renewal/reinstatement credit. Only institutes or workshops of at least 15 contact hours in duration are eligible for non-academic credit.

Non-academic Credit Pre-approval for Travel (docx)
Participants of an organized, sponsored educational travel event related to their endorsement area(s) may request pre-approval for the event to count toward non-academic renewal/reinstatement credit. Only organized, sponsored educational travel events that are at least three weeks in duration are eligible for non-academic credit.

Non-academic Credit Pre-approval for Workshops (docx)
Participants of institutes or workshops may request pre-approval for an institutes or workshops related to their endorsement area(s) to count as non-academic renewal/reinstatement credit. Only institutes or workshops of at least 15 contact hours in duration are eligible for non-academic credit.

Proof of Program Enrollment Form (docx)
Provide form and list of endorsements to the university or college where you are enrolled in an approved teacher preparation program. The university or college should return the completed form directly to you.

Reinstatement of a Retired/Lifetime Certificate Application & Checklist (docx)
Holders of a Retired/Lifetime certificate may reinstate their regular certificate within five years of the regular certificate’s expiration date. Six semester hours or nine quarter hours of credit must have been earned from a regionally accredited university within five years of the reinstatement application.

Renewal Credit Pre-approval Request Form (docx)
Individuals preparing to take renewal credit through a university or an organization approved to offer continuing education units may request pre-approval of the credit. This request form is only necessary if the credit to be earned does not have a clear connection to the individual's employment that requires a teacher, administrative, or special services certificate, the individual's endorsement areas, or a program that leads to an additional endorsement under 4 AAC 12.395. Only a continuing education unit of at least 15 contact hours in duration may be used for renewal credit.

Renewal or Reinstatement Application & Checklist (docx)
For applicants who hold a 5 or 10-year certificate, or a 5-year certificate which has been expired less than one year. Renewal applications may be submitted one year prior to the expiration date of the certificate being renewed. Applicants can also file an application through the Online Renewal link.

Retired/Lifetime Certification Application & Checklist (docx)
Optional certificate for those who held current Alaska certification at the time of retirement.

Standard Application (docx)
Applicants use the appropriate checklist and this application to apply for a teacher, administrative, or special service provider certification. A complete application packet includes a standard application, a specific certification checklist and other supporting documents and forms.

State-Approved Program Verification — Teacher (docx)
Provide this form to the university where you completed your preparation program. If you completed an alternative program, provide this form and the list of endorsements to the state agency that authorized the alternative program you completed. The university or state agency should return the completed form to you. The completed form should be submitted with your application packet.

State-Approved Program Verification — Administrative (docx)
Provide this form to the university where you completed your preparation program. If you completed an alternative program, provide this form and the list of endorsements to the state agency that authorized the alternative program you completed. The university or state agency should return the completed form to you. The completed form should be submitted with your application packet.

State-Approved Program Verification — Special Services (docx)
Provide this form to the university where you completed your preparation program. If you completed an alternative program, provide this form and the list of endorsements to the state agency that authorized the alternative program you completed. The university or state agency should return the completed form to you. The completed form should be submitted with your application packet.

Student Teacher Authorization (docx)
Student teachers serving in Alaska public schools must receive authorization from the Teacher Certification Office. To apply for authorization, submit a complete student teacher authorization form and a fingerprint card prior to your planned student teaching experience.

Synchronize Certificate Request Form (docx)
Individuals holding more than one certificate with the Alaska Department of Education & Early Development may request that one or more certificates’ duration is abbreviated so that all certificates held expire on the same date.