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College of Education

Teaching Credentials

Teaching Credentials - Forms

Form Title File Type
Credential Appeal Petition
(please review the Appeal Policy and Procedures prior to completing the petition.
PDF document icon
Special Problems Petition PDF document icon
Course Substitution Request PDF document icon
Request to Delay Or Withdraw PDF document icon
Statement of Concern - Coursework PDF document icon
Statement of Concern - Field Experience/Student Teaching PDF document icon

Multiple Subject

Form Title File Type
Information for Supervisor (Student Teaching) PDF document icon
Midterm and Final Teaching Candidate Evaluation Form PDF document icon
Pacing Guide PDF document icon
Student Teaching Syllabus PDF document icon
Supervisor Responsibilities PDF document icon

Single Subject

Form Title File Type
Midterm and Final Teaching Candidate Evaluation Form PDF document icon

Education Specialist Credentials

Preliminary - Educational Specialist Credential Forms File Type
Change of Program Petition PDF document icon
Prior Learning Assessment Form-All EDS programs File Type
Request for Prior Learning Assessment: Form PDF document icon
Request for Prior Learning Assessment: Guidelines PDF document icon
Mild/Moderate Forms-Advising File Type
The PDFs below are informational only. Each candidate will complete an advising form with his/her faculty advisor. Candidates should not complete these forms on their own.
Mild/Moderate No Other Credential PDF document icon
Mild/Moderate Holds MS PDF document icon
Mild/Moderate Holds SS PDF document icon
Mild/Moderate Mod 4 Sem PDF document icon
Mild/Moderate Mod 5 Sem PDF document icon
Mild/Moderate Forms-Student Teaching File Type
The PDFs below are fillable. When you open the document, save it to your computer then enter the student's information in the form fields. When finished, Save As with their name as part of the title. The information you entered will be saved with the PDF.
Mild/Moderate Student Teaching Application PDF document icon
Mild/Moderate Phase I Evaluation: EDS 471 PDF document icon
Mild/Moderate Phase I Evaluation: EDS 420A PDF document icon
Mild/Moderate Phase II Evaluation: EDS 420B PDF document icon
Mild/Moderate Phase III Evaluation: EDS 472/473 PDF document icon
Observation Record, Special Education Credential Programs PDF document icon
Moderate/Severe Forms File Type
Student Teaching Clearance Form - Due March 20, 2015 PDF document icon
Moderate/Severe Advisement PDF document icon
Moderate/Severe Student Teaching Application PDF document icon
Student Teaching Evaluation PDF document icon
Early Childhood Forms File Type
ECSE Advisement PDF document icon
ECSE Student Teaching Application PDF document icon
Intern Credentials File Type
Guidelines for EDS Intern Credentials PDF document icon
Intern Support Forms PDF document icon

Questions
Academic and Program Services
Phone: (916) 278-6639 | Office: Eureka Hall 401
Mail Address
College of Education, Academic and Program Services
6000 J Street
Sacramento, California 95819-6079