HUMAN RESOURCES HANDBOOK
TEACHER CERTIFICATION
The School Board of St. Lucie County is an Equal Opportunity Agency
August 2015
TABLE OF CONTENTS
Human Resources Contacts .............................................................................................2
Certification of Instructional Personnel ..............................................................................3
Florida Course Code Directory ..........................................................................................3
Temporary Certificates ......................................................................................................3
Professional Certificates ....................................................................................................4
Reciprocity .........................................................................................................................4
District-Issued Certificates .................................................................................................5
Athletic Coaching Certificates ...........................................................................................5
Additions/Renewals ...........................................................................................................6
Florida Teacher Certification Exams .................................................................................6
Highly Qualified Status ......................................................................................................7
Teaching Out of Field ........................................................................................................7
ESOL .................................................................................................................................8
Salary Supplements ..........................................................................................................9
School Board Policies .......................................................................................................10-12
Appendix
Appendix A: District Application for Additions ...................................................................13
Appendix B: District Renewal Application .........................................................................19
Appendix C: ESOL Information .........................................................................................25
1
HUMAN RESOURCES CONTACTS
Marla Grant
Director of Human Resources
Marla.Grant@stlucieschools.org
772/429-3973
Heather Blackard
Compliance Specialist
Heather.Blackard@stlucieschools.org
772/429-7507
Ron Barr
Certification Specialist
Ronald.Barr@stlucieschools.org
772/429-7512
2
CERTIFICATION OF INSTRUCTIONAL PERSONNEL
All instructional personnel are obliged to obtain proper certification in order to be employed. Application to the
Florida Department of Education, Bureau of Educator Certification, should be made before or immediately
upon employment in an instructional position. In order to maintain employment, each new instructional
employee must provide the district with proof of certification within 120 days of employment. Failure to do so
may result in loss of employment. The application for certification may be completed on-line
at http://www.fldoe.org/edcert/apply.asp. Alternatively, a paper application may be obtained from the Human
Resources Department.
An individual who meets the minimum application requirements is issued an Official Statement of Status of
Eligibility (SOE) which reflects the results of an evaluation of the application and all supporting
documents submitted by the applicant. The SOE is valid for three (3) years from the date it is issued. The SOE
advises the applicant of three key pieces of information:
1. Whether or not the applicant meets the subject requirements (specialization) for the subject or
endorsement requested.
2. The requirements that are remaining for issuance of a temporary certificate in that subject.
3. The requirements that are remaining for issuance of a professional certificate in that subject.
Persons submitting a complete application for certification and the required processing fee may be able to
receive issuance of their certificate within thirty (30) days of submission of their fingerprints, unless there is
some special hold due to a criminal history or illegible fingerprints. These will delay issuance as they require
manual processing.
FLORIDA COURSE CODE DIRECTORY
State Board of Education Rule 6A-1.09441, Florida Administrative Code (FAC), requires that school-level,
district-level, and postsecondary-level personnel use the Florida Course Code Directory when determining
appropriate educator certification for specified courses. Directory files are located
at http://www.fldoe.org/articulation/CCD/ and are broken down into the following sections:
•
•
•
•
•
•
•
•
Section 1 – Narrative Section
Section 2 – Administrative, Curricular, Service Assignments Course Listing
Section 3 – Grades PreK to 5 Education Course Listing
Section 3 – Grades 6 to 8 Education Course Listing
Section 3 – Grades 9 to 12 and Adult Education Course Listing
Section 4 – Exceptional Student Education Course Listing
Section 5 – Career Technical Education Program and Course Listing
Section 6 – Adult General Education Course Listing
TEMPORARY CERTIFICATES
The temporary Florida certificate is valid for three (3) years and is not renewable. This certificate provides
teachers with a bachelor's degree the opportunity to teach full-time while they complete the requirements for
the professional certificate. The requirement to demonstrate mastery of general knowledge through Florida’s
General Knowledge Exam must be met within one (1) calendar year of the date of employment under the
temporary certificate. A school district shall not employ nor continue the employment of an individual past the
end of the contract year when the general knowledge requirement has not been met. A teacher may continue
to be employed in another job classification, such as a substitute teacher, but shall not continue to be
employed as a full-time teacher. Upon presenting passing scores, the individual may be re-employed as a fulltime teacher.
3
Instructional personnel new to teaching in Florida are required to complete the Professional Education
Competence Program (PEC) during the three year validity period of their temporary certificate. The function of
this program is to determine that new teachers have acquired professional education competence as
demonstrated by their day-to-day classroom performance. Most will complete the PEC in one year. This
requirement must be met before a five-year professional certificate can be issued. The two exceptions to this
requirement include:
a. An individual who has completed an approved teacher education program at an approved institution
within the state of Florida.
b. An individual who has completed an approved teacher education program in another state having
reciprocity with Florida and who has a professional certificate issued by that state.
The Professional Education Test is another requirement listed in the SOE for temporary certificate holders.
This test assesses knowledge of pedagogy and professional practices in the field of education.
Non-education majors are required to establish Professional Preparation Competence (PPC). This requirement
includes 15 hours of education coursework and earning one year of full-time teaching experience. The
coursework credit is defined as follows:
•
•
•
•
•
•
credit in classroom management including safe learning environments
credit in human development and learning
credit in educational assessment to include the content measured by state achievement tests and
the interpretation and utilization of data to improve student achievement
credit in effective instructional strategies including the needs of diverse learners
credit in curriculum and special methods (of teaching the subject at the appropriate level)
credit in foundations of research-based practices in teaching reading
Indian River State College offers an Educator Preparation Institute (EPI) to non-education majors who have a
minimum of a bachelor's degree to obtain professional state certification. Visit http://www.irsc.edu/ for
additional information.
PROFESSIONAL CERTIFICATES
Florida's highest teaching certificate, the professional certificate, is a renewable teaching credential valid for
five (5) years. Teachers with a bachelor's degree from a state-approved program can qualify for this certificate
after they pass all required Florida Teacher Certification Exams (FTCE) and complete applicable paperwork.
RECIPROCITY
Florida offers two reciprocal routes to the professional certificate for applicants who hold valid standard
certificates from other U.S. states, territories, and the National Board for Professional Teaching Standards
(NBPTS).
Route 1: valid standard certificate issued by a state other than Florida
• The certificate must be a standard or Level II certificate issued by the other state or US territory, and
the certificate must be currently valid (not expired or revoked).
• The subject(s) shown on the certificate must be considered comparable to a subject(s) issued in
Florida.
Route 2: certificate issued by the National Board for Professional Teaching Standards (NBPTS)
• The NBPTS certificate must be currently valid.
• The Florida certificate will reflect the Florida subject considered comparable to the NBPTS subject.
4
DISTRICT-ISSUED CERTIFICATES
Career and Technical Education courses may be taught by qualified non-degreed personnel with expertise
based upon verified satisfactory occupational experience. A person holding a district-issued certificate must be
assigned to teach only Career and Technical Education courses as indicated in the Florida Course Code
Directory. No teacher in a non-degreed assignment may be employed out-of-field.
The Human Resources Department issues an initial three-year nonrenewable temporary certificate in the same
manner that state-certified teachers are certified. During the validity period of this temporary certificate, the
teacher must provide documentation of the following to qualify for the professional certificate:
A. The requirement to demonstrate mastery of general knowledge through Florida’s General Knowledge
Exam must be met within one (1) calendar year of the date of employment under the temporary
certificate.
B. Successful completion of the district’s Professional Education Competence (PEC) Program.
C. A passing score on the Professional Education Test.
D. A minimum of 12 semester hours in education courses with credit in each of the professional education
areas listed below:
• Teacher Methods
• Course Construction
• Lesson Planning and Evaluation
• Teaching Special Needs Students
E. Industry certification if state or national industry certifications are available and applicable as indicated in
the Industry Certification Funding List (http://www.fldoe.org/workforce/fcpea/).
Upon receipt of the above documentation with the appropriate application and $75 processing fee, the Human
Resources Department will issue the Career and Technical Education teacher the five-year professional district
certificate that is valid for five (5) years from July 1st of the school year it was issued. This certificate must be
renewed in the identical manner that a state-issued certificate is renewed.
ATHLETIC COACHING CERTIFICATES
Athletic Coaching certificates are issued to individuals who do not hold a valid Florida educator’s certificate, but
who are paid to coach in the public schools. For individuals who hold a valid Florida educator’s certificate, the
additional coaching certificate is not required by the State. Individuals who hold valid Florida certificates who
wish to hold coaching certification may apply and meet the requirements to add the Athletic Coaching
Endorsement.
The coach should apply for the one time only three-year nonrenewable Athletic Coaching Certificate or the
five-year renewable certificate, if former college coursework is appropriate, at www.fldoe.org/edcert/apply.asp.
The current processing fee is $75.00.
The coach receives an Official Statement of Status of Eligibility from the Florida Department of Education
(FDOE) that indicates eligibility for a three-year Athletic Coaching certificate and also lists the requirements for
the five-year certificate. If the coach is not eligible for the five-year certificate, then he/she must complete the
course requirements within the three-year validity period of the first certificate. When the coaching certificate is
received, a copy should be sent to the Human Resources Department for inclusion in the coach’s personnel
file.
The School District of St. Lucie County in partnership with the American Sport Education Program (ASEP)
offers ASEP on-line and classroom courses at http://www.asep.com/asep_content/org/slsd.cfm. When the
coach has completed the coursework, he/she will then apply to FDOE for the five-year Athletic Coaching
certificate. Official documentation, including a copy of a valid cardiopulmonary resuscitation (CPR) card, will be
5
sent to FDOE by the Human Resources Department verifying that the coach has completed the Athletic
Coaching requirements. Applications must be submitted before the end of the validity period of the three-year
certificate.
ADDITIONS/RENEWALS
To add a subject to a valid Florida educator’s certificate, you must:
1. Submit a completed application form (see Appendix for District Application for Additions) and $75.00
processing fee. Accepted payment methods include credit card
(https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkqemc8), personal check, or money order
payable to the St. Lucie County School Board.
2. Demonstrate mastery of subject knowledge in the subject you wish to add (i.e. passing score on a
Florida subject area exam or content area coursework/in-service).
Applications for renewals (see Appendix for District Renewal Application) are accepted up to one (1) year prior
to the certificate expiration date. Renewals must occur on or before May 1 of the expiration year to be eligible
for reappointment. Once the application and $75.00 fee are submitted for processing, the Human Resources
Department will then request verification of in-service points from Professional Development. Accepted
payment methods include credit card (https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkpqri8),
personal check, or money order payable to the St. Lucie County School Board.
Any person applying on or after July 1, 2014, for renewal or reinstatement of a Professional Certificate must
earn at least one (1) semester hour of college credit or the equivalent twenty (20) in-service points in the
instruction of students with disabilities. A minimum of six (6) semester hours of acceptable college credit or 120
in-service points is still required in order to renew your certificate. The credit in the instruction of students with
disabilities will now be required as a part of the overall credit for any renewal or reinstatement application
received on or after July 1, 2014.
As an acceptable equivalent, you may earn a passing score on a Florida subject area exam during the current
validity period for a subject reflected on your certificate to satisfy three (3) semester hours of renewal credit. If
your current Professional Certificate includes a subject in the instruction of students with disabilities, a passing
score on the corresponding subject area exam (i.e., Exceptional Student Education, Hearing Impaired,
Speech-Language Impaired, Visually Impaired) earned during the current validity period will satisfy three (3)
semester hours of renewal credit and also the requirement for credit in the instruction of students with
disabilities.
Teachers should check the amount of in-service points earned within the validity period (ex: July 1, 2011 June 30, 2016) on ERO prior to submitting the renewal
application https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947. Other renewal options include:
•
•
•
•
60 in-service points plus one 3 credit hour course
two 3 credit hour courses (6 semester hours total)
subject area exam (taken within validity period) plus 60 in-service points or 3 semester hours of
coursework (same subject must already be on your certificate)
a valid National Board Certification will renew all corresponding areas shown on the Florida certificate;
a copy must accompany the renewal form
FTCE
Florida Teacher Certification Examinations (FTCE) are standardized tests used to assess the competencies of
prospective teachers according to Florida's Next Generation Sunshine State Standards. FTCE offers 50
6
different exams: four General Knowledge sub-tests, one Professional Education exam, 42 Subject Area
examinations, and 3 Florida Educational Leadership Exams.
All FTCE exams are offered via computer during the week at 36 locations throughout the state. Information on
Florida Teacher Certification Exams can be found by going to www.fl.nesinc.com. This website provides up-todate registration and testing information, information about test preparation materials, and services that enable
you to register and obtain your unofficial test results on-line.
HIGHLY QUALIFIED STATUS
The federal No Child Left Behind Act of 2001 (NCLB) requires that all core content teachers be highly qualified
in their assignment. Core courses include English (Reading or Language Arts), Mathematics, Science, World
Languages, Social Studies (Civics, Government, History, Geography, & Economics), and the Arts (Visual Arts,
Drama, & Music). If a teacher needs to complete a verification of an out-of-state subject area exam or
HOUSSE Plan, please contact the Human Resources Department.
Timely notice to parents must be sent if their child has been taught for four (4) or more consecutive weeks by a
teacher who is not highly qualified. This notice is commonly referred to as the Four-Week Notice. Four weeks
has been interpreted as twenty (20) school days. Once the parent has been notified that their child is being
taught by a non-highly qualified teacher, it is not necessary to continue to provide the same notice every four
weeks. However, the school is required to re-notify parents if the teacher’s status changes. The following
situations would require a re-notification to parents:
•
•
•
The teacher’s assignment changes;
The support provided to the non-highly qualified teacher changes; or
The students assigned to the teacher’s class changes.
The school may also consider notifying parents when a non-highly qualified teacher meets the requirements to
be highly qualified. Although not specifically required in statute, such notification could be used to go beyond
compliance and ensure that parents are fully aware that their child’s teacher now meets the highly qualified
requirements.
TEACHING OUT OF FIELD
Employees hired to teach out of field must complete the minimum college credit hours or equivalent, as
specified below, each year toward certification in order to be eligible for reappointment.
A teacher out of field in a subject other than English for Speakers of Other Languages (ESOL) shall complete
at least six semester hours of college credit or the equivalent toward the appropriate certification within one (1)
calendar year from date of initial appointment to the out-of-field assignment and each calendar year thereafter
until all course requirements are completed for the appropriate certification.
A teacher out of field in ESOL only shall complete at least three semester hours of college credit or the
equivalent toward the ESOL requirements within the first two (2) calendar years from date of initial assignment
and three semester hours or the equivalent during each calendar year thereafter until all course requirements
for certification in ESOL are completed.
A teacher out of field in ESOL and another subject shall complete at least six semester hours of college credit
or the equivalent toward the appropriate certification within one (1) calendar year from the date of initial
appointment to the out-of-field assignment and each calendar year thereafter until all course requirements are
completed for the appropriate certification. During the first two (2) years, at least three of the required hours or
the equivalent shall be completed in ESOL strategies. Beginning with the third year and each year thereafter,
at least three semester hours or the equivalent shall be completed in ESOL strategies and at least three
7
semester hours in requirements for the other subject shall be completed until all course requirements are
completed for the appropriate certifications.
If the out-of-field teacher is completing professional preparation coursework towards the professional
certificate, six semester hours of the education coursework may be used in lieu of the six semester hours of
college credit or the equivalent toward the appropriate certification.
The principal is required to notify parents, in writing, when teachers are teaching out of field before the October
and February Full-Time Equivalent (FTE) survey periods. Each year as applicable, the out-of-field teacher shall
file appropriate verification of course work until fully certified with the Human Resources Department.
ESOL
The Consent Decree addresses the civil rights of English Language Learner (ELL) students, foremost among
those their right to equal access to all education programs. In addressing these rights, the Consent Decree
provides a structure that ensures the delivery of the comprehensible instruction to which ELL students are
entitled. Training requirements are broken down into four categories (see Appendix for ESOL information).
Category I: A teacher who is responsible for Language Arts/English, Developmental Language Arts, Intensive
Reading, or Reading must complete the five ESOL Endorsement classes and add the coverage to their
teaching certificate.
•
•
•
•
•
Applied Linguistics
Cross Cultural Communication
ESOL Curriculum
Methods of Teaching ESOL
Testing and Evaluation of ESOL
Once the ESOL Endorsement has been obtained, the teacher will also bank 300 points that may be used
toward subsequent renewals of their certificate in any area. Alternatively, teachers may (1) take any two of the
ESOL Endorsement classes and (2) take the ESOL K-12 Subject Area Exam (SAE). ESOL K-12 Certification
will be retained on the Florida educator’s certificate as long as the teacher has completed 120 ESOL in-service
points or two ESOL college classes prior to recertification. The ESOL in-service or coursework must be
completed within three (3) years of adding the ESOL K-12 certification to the teaching certificate.
Category II: A secondary education teacher who teaches Social Studies, Mathematics, Science, or Computer
Literacy requires 60 ESOL in-service points or one of the endorsement classes listed above.
Category III: This applies to elective teachers; a teacher who is not in Category 1, 2, or 4 (i.e. Art, Music,
Physical Education, Media Specialists, Speech-Language Pathologists, Occupational Therapists, Foreign
Language teachers, etc.) require 18 ESOL in-service points or one of the endorsement classes listed above.
Category IV: Administrators and Guidance Counselors require 60 ESOL in-service points or one of the
endorsement classes listed above.
When a Category I teacher who is not certified or endorsed in ESOL is assigned to teach a class in which an
active ELL student is enrolled, the teacher is identified as out of field. Once this occurs, the teacher is required
to work toward ESOL endorsement/certification regardless of whether or not they have ESOL students in their
class in subsequent years. Beginning with the 2011-2012 school year, Category I teachers must complete all
ESOL training requirements consecutively, within a six-year period. In other words, teachers must earn 60 inservice hours within the first two (2) years and 60 in-service hours each year after until fulfilling the required
hours. They may take more than the minimum required hours each calendar year, but they cannot skip any
8
years or double-up. The intent is for training to occur in a continuum in order to help the teacher become
proficient as soon as possible, thereby benefiting the ELL students.
SALARY SUPPLEMENTS
The restriction on awarding salary supplements for advanced degrees is based upon Senate Bill 736 which
was passed during the 2011 legislative session. A summary of the bill is available on-line
at http://www.fldoe.org/GR/Bill_Summary/2011/SB736.pdf. The exact language from Senate Bill 736 is as
follows:
A District school board may not use advanced degrees in setting a salary schedule for instructional
personnel or school administrators hired on or after July 1, 2011, unless the advanced degree is held in
the individual’s area of certification and is only a salary supplement.
The Human Resources Department references a list of acceptable majors recommended by the Florida
Department of Education to determine eligibility for the advanced degree supplement.
9
SCHOOL BOARD POLICIES
6.20*+ CERTIFICATION OF ADMINISTRATIVE AND INSTRUCTIONAL PERSONNEL
Except for employment under emergency conditions, as provided in Florida Statutes, and for part-time
service as authorized in these policies, no person shall be employed or continued in employment in an
instructional capacity who does not hold or who is not eligible to hold a valid Florida certificate. The
certificated staff member shall be responsible for maintaining a valid teaching certificate. The staff member
shall register the certificate and each certificate reissuance or renewal in the Human Resources Department
as soon as the Florida Department of Education reissues or renews the certificate.
(1) The Superintendent’s designee shall serve as the contact person with the certification section of the
Florida Department of Education and will assist with all certification requirements.
(2) An individual nominated for an instructional position shall be properly certificated, be eligible for
certification, or qualify for employment or reemployment as a non-degreed vocational education teacher or a
noncertificated instructional staff member.
(3) As state and/or federal rules/legislation changes, administrative and instructional personnel may be
required to meet additional education and certification requirements to be in compliance. Failure to comply
with this policy may result in disciplinary action up to and including termination.
(4) All persons employed or occupying a position whose function includes the provision of direct instructional
services to students or direct support in the learning process of students must hold the certificate(s) required
by Florida Statutes and Florida Department of Education rules.
(5) Periodically as required, the Superintendent shall develop and recommend and the School Board shall
adopt a District certification manual governing certification of non-degreed full-time vocational teachers,
substitute teachers, and non-certificated instructional personnel.
(6) In-service training programs shall be designed to assist instructional personnel in the performance of
their assigned duties by improving their competencies, knowledge, and skills.
(7) In addition to subject area certification, instructional staff members shall comply with all provisions of the
META Decree. Failure to comply with this policy may result in disciplinary action up to and including
termination.
(8) Federal law requires that all teachers of core academic subjects meet "highly qualified" criteria. The
Board will make every attempt to comply with Federal and State standards in the employment of
instructional personnel.
STATUTORY AUTHORITY: 1001.41, 1012.22, 1012.23, F.S.
LAWS IMPLEMENTED: 1001.43, 1011.60, 1012.24,
1012.54, 1012.55, 1012.56, 1012.57, F.S.
STATE BOARD OF EDUCATION RULES: 6A-1.0501, 6A-1.0502, 6A-1.0503
History: Adopted: 03/30/2004
10
Revision Date(s): 06/12/2012, 07/22/2014
Formerly: 3.62, 3.68
11
6.21* DISTRICT CERTIFICATES
The School Board authorizes issuance of School District Certificates to substitute teachers, JROTC teachers,
and full-time and part-time non-degreed Career & Technical Education teachers. The areas of certification shall
be as provided by the state of Florida; additionally, the School Board may establish alternative qualifications for
teachers with an industry certification in the career area in which they teach.
Each certificate shall bear an effective date of July 1 of the school fiscal year for which it is issued and shall
expire on June 30.
(1) The Substitute Certificate shall be valid for five (5) school fiscal years and shall be issued to an individual
who meets criteria established for employment in the School Board policy entitled “Substitute Teachers.”
(a) To re-issue a valid Substitute Certificate, an individual shall submit an application form to the Human
Resources Department.
(b) To re-issue an expired Substitute Certificate, an individual shall submit to the Human Resources
Department an application form and a complete set of fingerprints taken by a law enforcement agency or
properly trained District personnel to obtain a records check by the Florida Department of Law Enforcement
(FDLE) and the Federal Bureau of Investigation (FBI). The fingerprint processing fee shall be paid by the
individual.
(2) The following types of Full-time Certificates shall be issued at the non-degreed level.
(a) Non-degreed instructional personnel will be issued a three-year (3) Temporary Certificate upon receipt of
fingerprint clearance from the FDLE and FBI.
(b) A five (5) year Professional Certificate will be issued when all requirements have been completed as
specified by the Human Resources Department. In addition, all individuals hired on or after July 1, 2011 shall
provide documentation of industry certification when state or national industry certifications are available and
applicable.
(c) To re-issue a valid Professional Certificate, official transcripts must be filed with the appropriate renewal
form showing six (6) semester hours of college credit which includes three (3) semester hours specific to each
area on the certificate. One hundred twenty (120) Inservice Points shall be considered equivalent.
STATUTORY AUTHORITY: 1001.41, 1012.22, 1012.23, F.S.
LAWS IMPLEMENTED: 1001.43, 1012.32, 1012.39, F.S.
State Board of Education Rule: 6A-1.0502
History: Adopted: 03/30/2004
Revision Date(s): 04/09/2013, 11/18/2014
Formerly: new
12
6.22+ TEACHING OUT-OF-FIELD
(1) For initial employment in St. Lucie County, each member of the instructional or certificated administrative
staff shall be employed in the subject field in which he or she is properly certified except as approved by the
Superintendent.
(2) The School Board shall approve each out-of-field assignment and the minutes shall reflect such approvals.
(3) The principal shall notify parents in writing when teachers are teaching out of field prior to the October and
February Full-Time Equivalent (FTE) survey periods.
(4) Instructional personnel who are out of field for certification shall complete the minimum college credit hours
or equivalent as specified in this policy each year toward certification in order to be eligible for reappointment.
Any teacher who fails to meet such requirements on an annual basis shall not be eligible to teach out of field
for any subsequent year until the requirements are fulfilled.
(a) A teacher out of field in a subject other than English for Speakers of Other Languages (ESOL) shall
complete at least six (6) semester hours of college credit or the equivalent toward the appropriate certification
within one (1) calendar year from date of initial appointment to the out-of-field assignment and each calendar
year thereafter until all course requirements are completed for the appropriate certification.
(b) A teacher out of field in ESOL only shall complete at least three (3) semester hours of college credit or the
equivalent toward the ESOL requirements within the first two (2) calendar years from date of initial assignment
and three (3) semester hours or the equivalent during each calendar year thereafter until all course
requirements for certification in ESOL are completed.
(c) A teacher out of field in ESOL and another subject shall complete at least six (6) semester hours of college
credit or the equivalent toward the appropriate certification within one (1) calendar year from the date of initial
appointment to the out-of-field assignment and each calendar year thereafter until all course requirements are
completed for the appropriate certification. During the first two (2) years, at least three (3) of the required hours
or the equivalent shall be completed in ESOL strategies. Beginning with the third year and each year
thereafter, at least three (3) semester hours or the equivalent shall be completed in ESOL strategies and at
least three (3) semester hours in requirements for the other subject shall be completed until all course
requirements are completed for the appropriate certifications.
(5) Each year as applicable, the out-of-field teacher shall file appropriate verification of course work with the
Human Resources Department until fully certified.
(6) An experienced teacher teaching out-of-field in a core academic subject area may demonstrate subject
area expertise other than that demonstrated through holding state certification by utilizing the High, Objective,
Uniform State Standard of Evaluation (HOUSSE) plan as outlined by the Florida Department of Education.
Such approved teachers will not be required to be reported to parents as not having certification in the subject.
This provision is not applicable to teachers of ESOL or Reading.
STATUTORY AUTHORITY: 1001.41, 1012.22, 1012.23, F.S.
LAWS IMPLEMENTED: 1001.43, 1012.42, 1012.55, F.S.
History:
Adopted: 03/30/2004
Revision Date(s): 05/24/05, 06/12/2012
Formerly: 3.69
13
FLORIDA EDUCATOR CERTIFICATION
DISTRICT APPLICATION FOR ADDITIONS
Applications for certificate additions should be submitted to the Human Resources Department along
with a $75.00 processing fee. This application may also be used to apply for a duplicate copy or
name change on an existing certificate with a $20.00 processing fee. Accepted payment methods
include credit card (https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkqemc8), personal
check, or money order payable to the St. Lucie County School Board. This application should not be
used if you hold a Temporary Florida Educator’s Certificate or if adding Reading K-12, SpeechLanguage Impaired, School Psychologist, Educational Leadership, or Guidance & Counseling.
If you are attempting to add the Reading Endorsement or ESOL Endorsement, a copy of your ERO
transcript must accompany this application. You may log in to access your transcript here:
https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947.
Questions should be directed to Ron Barr at ronald.barr@stlucieschools.org or 772/429-7512.
Checklist of items required for addition:
 Completed application
 ERO transcript if adding the Reading or ESOL Endorsement
 $75 processing fee ($20 for name change). Accepted payment methods include credit card
(https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkqemc8),
personal check, or money order payable to the St. Lucie County School Board.
Send to the attention of Ron Barr in Human Resources.
PER0145 Pg. 1 of 6, Rev. 01/15
FLORIDA
Educator Certification
D
D II S
S TT R
R II C
C TT A
AP
PP
P LL II C
CA
A TT II O
ON
N
Instructions for Completing Your Application for Educator Certification
Each district school board is responsible for processing application requests for its public school
employees for duplicate or name change certificates, as well as additions to certificates based on
district add-on program completion or passing a subject area exam (§1012.586, F.S.; 6A-4.0012, FAC).
GENERAL INSTRUCTIONS ON HOW TO COMPLETE THIS FORM.
•
•
•
•
•
Complete entire application form using a black or dark blue ink pen. Do not use pencil.
Fill in all circles completely (i.e. ).
All entries should be clearly typed or hand written in UPPER CASE LETTERS within the boxes
provided.
There should be at least one blank space between each word for any entry.
DO NOT staple, tape, or use correction fluid on the form.
Ensure that your social security number or Florida DOE#
is clearly printed on all documents submitted.
SSN Statement: Collection of your social security number (SSN) is required pursuant to §1012.56,
Florida Statutes, for the purpose of promoting the public policy of Florida relating to child support. Your
SSN is used by the Department as a unique identifier for maintaining your certification and related
personnel records as required under the same statute. Your SSN may be disclosed to the Department
of Revenue, as authorized under §1012.21, Florida Statutes, as Florida’s agency for administration of
the Title IV-D program of the federal Social Security Act for child support enforcement. Failure to
provide your SSN to Educator Certification will prevent issuance of your Florida Educator’s Certificate.
CERTIFICATE OR SERVICE REQUESTED:
Service Requested
Add a subject or endorsement to my valid Florida Certificate. (Fill in subject code box.)
Fee
$75.00
Print a duplicate copy of my currently valid Florida Certificate.
NOTE: A duplicate cannot be requested of an expired certificate.
Print a copy of my valid Florida Certificate due to a legal name change.
$20.00 only
$20.00 only
LEGAL DISCLOSURE: Florida Law requires you to provide a YES or NO answer to the questions
within the Legal Disclosure section of your application, even if previously submitted. For your application
to be complete, you must complete the ASSOLFDWLRQDQG/HJDO'LVFORVXUH$ffidavit at the end of the
Legal Disclosure Supplement.
AFFIDAVIT: You must read, print your name, affix your legal signature, and enter the date.
All documents submitted become part of your official Florida certification record
and cannot be returned.
PROVIDE ALL APPLICATION MATERIALS TO:
CG-10D APPLICATION INSTRUCTIONS (DECEMBER 2014) - DISTIRCT VERSION 1
Incorporated by Rule 6A-4.0012, F.A.C.
PER0145 Pg. 2 of 6, Rev. 01/15
District Additions
Subject Area/Grade Level Chart
Effective October 25, 2011
Use codes on this chart to complete the CG-10D Application Form – District Version
Academic Coverages
Art
Biology
Chemistry
Computer Science
Drama
Earth-Space Science
Elementary Education
English
English for Speakers of Other
Languages (ESOL)
Exceptional Student Education
Foreign Language – French
Foreign Language – German
Foreign Language – Latin
Foreign Language – Spanish
Health
Hearing Impaired
Humanities
Journalism
Mathematics
Middle Grades English
Middle Grades General Science
Middle Grades Mathematics
Middle Grades Social Science
Music
Physical Education
Physics
PreKindergarten/Primary Education
Preschool Education (Birth through Age 4)
Social Science
Speech
Visually Impaired
Grade
Levels
Subject
Code
K-12
6-12
6-12
K-12
6-12
6-12
K-6
6-12
K-12
1001/6
1003/1
1004/1
1006/6
1008/1
1009/1
1013/K
1015/1
1016/6
K-12
K-12
K-12
K-12
K-12
K-12
K-12
K-12
6-12
6-12
5-9
5-9
5-9
5-9
K-12
K-12
6-12
PK-3
0-4 Yrs
6-12
6-12
K-12
1077/6
1017/6
1019/6
1030/6
1054/6
1022/6
1023/6
1026/6
1029/1
1031/1
1015/C
1033/C
1031/C
1052/C
1035/6
1036/6
1038/1
1041/H
1042/A
1052/1
1056/1
1059/6
Specialty Coverages
Educational Media Specialist
Degreed Vocational
Coverages
Agriculture
Business Education
Family and Consumer Science
Marketing
Technology Education
Grade
Levels
PK-12
1012/D
Grade
Levels
6-12
6-12
6-12
6-12
6-12
Athletic Coaching
Driver Education
English for Speakers of Other Languages (ESOL)
Reading
American Sign Language
Autism Spectrum Disorders
Gifted
Subject
Code
1067/1
1068/1
1069/1
1072/1
1070/1
General Endorsements
Academic/Specialty Endorsements
Subject
Code
Subject
Code
1002/E
1061/E
1016/E
1046/E
Subject
Code
1079/E
1078/E
1062/E
Please be advised that an endorsement is a rider on a valid Florida educator’s certificate with another subject
coverage. An academic/specialty endorsement can only be a rider with specified subject coverages. An
endorsement cannot stand alone on a certificate.
Please visit the FLDOE Professional Development website at www.fldoe.org/profdev for a listing of “Approved
District Add-on Programs” for your school district.
CG-10D APPLICATION INSTRUCTIONS (DECEMBER 2014) - DISTIRCT VERSION 2
Incorporated by Rule 6A-4.0012, F.A.C.
PER0145 Pg. 3 of 6, Rev. 01/15
Employer Date Stamp
Official Use Only
CG-10D APPLICATION FOR A
FLORIDA EDUCATOR’S CERTIFICATE
DISTRICT VERSION
Payment
Amount
Payment
Number
$
Payment Method (check one)
Check
Money Order
Voucher
Cash
Credit Card
Other
PERSONAL INFORMATION Complete entire Application in UPPERCASE letters using only black or blue ink.
1A. U.S.Social Security Number 1B. DOE Number
2. Birth Date (MM/DD/YYYY)
4. First Name (Given Name)
5. Middle Name
3. Are you a US Citizen?
Yes
No
6. Last Name (Family Name)
14. What is your gender? (Optional)
M
F
7. Mailing Address (Street Number and Street Name)
15. Are you Hispanic or Latino?
(Optional, choose only one)
No, not Hispanic or Latino
Yes, Hispanic or Latino
8. City
16. What is your race?
(Optional, mark all that apply)
10. Postal Code
9. State
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
11. Phone
12. Country
13. E-Mail Address (For Official Communication from Educator Certification)
17.CURRENT VALID FLORIDA EDUCATOR'S CERTIFICATE INFORMATION
Please select your currently valid Florida Certificate Type. Please indicate the validity period of your Florida Certificate.
Professional
Temporary
July 1,
to June 30,
18.CERTIFICATE OR SERVICE REQUESTED
18A. Please select the Certificate Service Requested. (Please select only one service per application)
Add a subject or endorsement to my valid Florida Certificate.*
Print a duplicate copy of my valid Florida Certificate.
(go to question 20)
(skip to page 2)
Print a copy of my valid Florida Certificate due to a legal name change.skip to page 2)
18B. Please indicate the subject code for the subject coverage or endorsement to be added to your Florida Certificate.
Please refer to the District Additions Subject Area/Grade Level Chart for the appropriate code numbers
* Please note: Districts may add a subject coverage or endorsement to a valid Florida certificate ONLY on the basis of the
completion of the appropriate subject area testing requirements of s.1012.56(5)(a), FS, or the completion of the
requirements of an approved school district program or the inservice components for an endorsement.
Academic Coverages, Specialty Coverages, and Degreed Vocational Coverages may be added ONLY to a valid
Florida Professional Certificate through use of this application to your employing school district.
CG-10D APPLICATION FORM (DECEMBER 2014) - DISTIRCT VERSION 1
Incorporated by Rule 6A-4.0012, F.A.C.
PER0145 Pg. 4 of 6, Rev. 01/15
CG-10D APPLICATION FOR A
FLORIDA EDUCATOR’S CERTIFICATE
DISTRICT VERSION
PERSONAL INFORMATION
Complete in UPPERCASE letters using only black or blue ink.
U.S. Social Security Number
DOE Number
First Name
Last Name
LEGAL DISCLOSURE (Florida Law requires you to provide a YES or NO response)
After answering each of the following questions, you must sign and date the Application and Legal Disclosure Affidavit to complete your
application. Please refer to the instructions in the Legal Disclosure Supplement on the reverse side of this page for additional information
regarding this section of the application form.
SEALED OR EXPUNGED RECORDS (Report ONLY sealed or expunged records in this section)
For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.
YES
NO
Have you ever had any record sealed or expunged in which you were convicted of a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you were found guilty of a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you had adjudication withheld on a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you pled nolo contendere to a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you pled guilty to a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you entered into a pretrial diversion program or deferred
prosecution program related to a criminal offense?
YES
NO
Do you have a petition pending to seal or expunge any criminal offense record?
SEALED or EXPUNGED records MUST BE REPORTED pursuant to ss. 943.0585 and 943.059, Florida Statutes. However, existence of such records
WILL NOT BE DISCLOSED nor made part of your certification file which is public record.
CRIMINAL OFFENSE RECORD(S) (Report any record other than sealed or expunged in this section.)
For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.
YES
NO
Have you ever been convicted of a criminal offense?
YES
NO
Have you ever been found guilty of a criminal offense?
YES
NO
Have you ever had adjudication withheld on a criminal offense?
YES
NO
Have you ever pled nolo contendere to a criminal offense?
YES
NO
Have you ever pled guilty to a criminal offense?
YES
NO
Have you ever entered into a pretrial diversion program or deferred prosecution program related to a criminal offense?
YES
NO
Are there currently charges pending against you for any criminal offense?
PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)
For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.
YES
NO
Have you ever had a professional license or certificate sanctioned or disciplined in this state or any other state?
YES
NO
Have you ever been DENIED a professional license or certificate in this state or any other state even if the certificate or
license was later issued with conditions or limitations?
YES
NO
Have you ever had a professional license or certificate suspended or revoked in this state or any other state?
YES
NO
Have you ever surrendered, resigned, or relinquished a professional license or certificate in this state or any other state
during or following an investigation into allegations of misconduct?
YES
NO
Have you ever had a professional license or professional certificate disciplined in this state or any other state by
receiving a letter of reprimand, fine, probation or any other restriction or special condition?
YES
NO
Do you have any current investigative action pending in this state or any other state against a professional license or
certificate or against an application for a professional license or certificate?
YES
NO
Do you have any current disciplinary action pending in this state or any other state against a professional license or
certificate or against an application for a professional license or certificate?
If you answered YES to any of the preceding questions, you must complete all information within the Legal Disclosure Supplement on the reverse
side of this page. Please provide detailed information for each affirmative response and submit this form to complete your application.
CG-10D APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 1
Incorporated by Rule 6A-4.0012, F.A.C.
PER0145 Pg. 5 of 6, Rev. 01/15
LEGAL DISCLOSURE SUPPLEMENT
Florida Law requires you to provide a YES or NO answer to the questions within the Legal Disclosure section of your application, even if previously
submitted. If you answered YES to any question in the Legal Disclosure section on the application form, you must provide detailed complete
information for each affirmative response within the corresponding section in this Legal Disclosure Supplement.
You are not required to acknowledge minor traffic violations. The criminal offense of Driving Under the Influence (DUI) or Driving While Intoxicated
(DWI) is not a minor traffic violation and should be disclosed on this form.
Having a criminal history or administrative sanction against a professional license does not automatically disqualify a person from receiving a
Florida Educator’s Certificate, but such incidents will prompt a review by the Office of Professional Practices Services.
A person is ineligible for educator certification if the person has been convicted of a disqualifying offense as listed in Section 1012.315 Florida
Statutes. Please refer to www.myfloridateacher.com for more information.
First Name
Middle Name
Last Name
Former Name
Any Other Last Names /
Aliases
SEALED OR EXPUNGED RECORD(S)
City Where Arrested
State
Date of Arrest
Charge
Plea
Disposition (outcome)
Date of Arrest
Charge
Plea
Disposition (outcome)
CRIMINAL OFFENSE RECORD(S)
City Where Arrested
State
PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)
State:_____________________________________
Year:_ __________________ License or Certificate:___________________________________________________
Issuing Agency:______________________________________________________
Sanction and Reason:___________________________________________________
State:_____________________________________
Year:_ __________________ License or Certificate:___________________________________________________
Issuing Agency:______________________________________________________
Sanction and Reason:___________________________________________________
State:_____________________________________
Year:_ __________________ License or Certificate:___________________________________________________
Issuing Agency:______________________________________________________
Sanction and Reason:___________________________________________________
APPLICATION and LEGAL DISCLOUSRE AFFIDAVIT
I,
, do hereby certify that I subscribe to and will uphold the principles incorporated in the
PrintName
Constitution of the United States of America and the Constitution of the State of Florida. I do hereby affirm that all information provided
in my application for a Florida Educator’s Certificate is true, accurate, and complete.
WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN OR RENEW A FLORIDA EDUCATOR’S CERTIFICATE IS A CRIMINAL OFFENSE UNDER
FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO CRIMINAL PROSECUTION, AS WELL AS DISCIPLINARY
ACTION BY THE EDUCATION PRACTICES COMMISSION.
____________________________________________________
applicant’s signature
_____________________________
date
CG-10D APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 2
Incorporated by Rule 6A-4.0012. F.A.C.
PER0145 Pg. 6 of 6, Rev. 01/15
FLORIDA EDUCATOR CERTIFICATION
DISTRICT RENEWAL APPLICATION
Employees are required to renew through the District, not the Florida Department of Education
website. The Human Resources Department accepts applications for renewals up to one (1) year
prior to the certificate expiration date. Renewals must occur on or before May 1 of the expiration year
to be eligible for reappointment. There is a $75.00 processing fee. Accepted payment methods
include credit card (https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkpqri8), personal
check, or money order payable to the St. Lucie County School Board.
Any person applying on or after July 1, 2014, for renewal or reinstatement of a Professional Certificate
must earn at least one (1) semester hour of college credit or the equivalent twenty (20) in-service
points in the instruction of students with disabilities. A minimum of six (6) semester hours of
acceptable college credit or 120 in-service points is still required in order to renew your certificate. The
credit in the instruction of students with disabilities will now be required as a part of the overall credit
for any renewal or reinstatement application received on or after July 1, 2014.
A copy of your ERO transcript must accompany this application. Teachers should use the validity
period listed on their certificate when running the transcript copy (ex: July 1, 2011 - June 30, 2016).
Questions regarding ERO should be directed to the Professional Development Department at
772/429-3940. Link to ERO: https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947.
Other renewal options include:
 60 in-service points plus one 3 credit hour course
 two 3 credit hour courses (6 semester hours total)
 subject area exam (taken within validity period) plus 60 in-service points or 3 semester hours
of coursework (same subject must already be on your certificate)
 a valid National Board Certification will renew all corresponding areas shown on the Florida
certificate; a copy must accompany the renewal form
 a course taught at the college level at an accredited or approved institution; verification of
course name, prefix, number, semester hours and dates taught should be submitted on
college letterhead by the registrar.
Questions should be directed to Ron Barr at ronald.barr@stlucieschools.org or 772/429-7512.
Checklist of items required for renewal:
 Completed application
 ERO transcript with validity period of July 1, 2011 - June 30, 2016
 $75 processing fee. Accepted payment methods include credit card
(https://stlucie.revtrak.net/tek9.asp?pg=products&specific=jnkpqri8),
personal check, or money order payable to the St. Lucie County School Board.
Send to the attention of Ron Barr in Human Resources.
PER0137 Pg. 1 of 6, Rev.06/15
FLORIDA
Educator Certification
D II S
AP
S TT R
R II C
C TT RENEWAL
A
PP
P LL II C
CA
A TT II O
ON
N
Instructions for Completing Your Application for Educator Certification
Each district school board is responsible for processing application requests for its public school
employees for UHQHZDORISURIHVVLRQDOFertificates (§1012.58, F.S.; 6A-4.0012, FAC).
GENERAL INSTRUCTIONS ON HOW TO COMPLETE THIS FORM.
•
•
•
•
•
Complete entire application form using a black or dark blue ink pen. Do not use pencil.
Fill in all circles completely (i.e. ).
All entries should be clearly typed or hand written in UPPER CASE LETTERS within the boxes
provided.
There should be at least one blank space between each word for any entry.
DO NOT staple, tape, or use correction fluid on the form.
Ensure that your social security number or Florida DOE#
is clearly printed on all documents submitted.
SSN Statement: Collection of your social security number (SSN) is required pursuant to §1012.56,
Florida Statutes, for the purpose of promoting the public policy of Florida relating to child support. Your
SSN is used by the Department as a unique identifier for maintaining your certification and related
personnel records as required under the same statute. Your SSN may be disclosed to the Department
of Revenue, as authorized under §1012.21, Florida Statutes, as Florida’s agency for administration of
the Title IV-D program of the federal Social Security Act for child support enforcement. Failure to
provide your SSN to Educator Certification will prevent issuance of your Florida Educator’s Certificate.
Certificate Renewal Requested
Fee
Renewal of my valid Florida Professional Certificate.
$75.00
$105.00
LATE Renewal of my recently expired Florida Professional Certificate.
($75 plus $30 Late
NOTE: To use the late fee option, all requirements for renewal of the
Fee)
certificate must have been completed prior to expiration of the certificate
except for submitting the application and fee.
SUBJECTS RENEWED: Complete the table for each subject on your Professional Certificate for which
you have completed credit or the equivalent during this renewal period.
• If renewing by college credit earned, enter the course information in the table and submit an
OFFICIAL transcript from each college/university reflecting completion of the appropriate
college credit earned.Each transcript shall bear the LQVWLWXWLRQseal and signature of the registrar.
PHOTOCOPIES are not official transcripts.
• If renewing by Florida Inservice Credit points, your Florida employer PXVWcomplete the
Inservice Credit section of this form to verify yourinservice points.
• If renewing by passing a Florida Subject Area Examination (for a subject currently on the
certificate) enter this information in the table. Passing scores are automatically submitted.
• If renewing with your NBPTS certificate, submit a OHJLEOHcopy of the certificate along with the
completed renewal application.
• To use your college teaching experience, request that theregistrar at your college/university
submit a letter listing the prefix, number and name for eachcourse, the number of semester
hours earned by students in each course and the dates thecourses were taught.
• If you wish to delete a subject from your certificate, enter the subject in the table and write
“delete” in any adjacent Method of Renewal column.
LEGAL DISCLOSURE: Florida Law requires you to provide a YES or NO answer to the questions
within the Legal Disclosure section of your application, even if previously submitted. )RU\RXUDSSOLFDWLRQ
tREHFRPSOHWH\RXPXVWFRPSOHWHWhe Application and Legal Disclosure Affidavit at the end of
the Legal Disclosure SupplemenW
AFFIDAVIT: You must read, print your name, affix your legal signature, and enter the date.
CG-10RD RENEWAL APPLICATION INSTRUCTIONS (DECEMBER 2014) - DISTRICT VERSION
Incorporated by 6A-4.0012, F.A.C.
PER0137 Pg. 2 of 5, Rev. 06/15
Official Use Only
CG-10RD APPLICATION FOR RENEWAL
OF A FLORIDA PROFESSIONAL EDUCATOR’S
CERTIFICATE - DISTRICT VERSION
Amount
Employer Date Stamp
$
Number
Payment Method (check one)
Other
PERSONAL INFORMATION Complete entire Application in UPPERCASE letters using only black or blue ink.
1A. U.S. Social Security Number
2. Birth Date (MM/DD/YYYY)
1B. DOE Number
4. First Name (Given Name)
3. Are you a US Citizen?
Yes
No
5. Middle Name
6. Last Name (Family Name)
14. What is your gender? (Optional)
F
7. Mailing Address (Street Number and Street Name)
15. Are you Hispanic or Latino?
16. What is your race?
8. City
9. State
10. Postal Code
11. Phone
Asian
12. Country
White
13.E-mail Address(For Official Communication from Educator Certification)
17. SUBJECTS TO BE RENEWED
List Subject(s) to be Renewed and Method of Renewal for Each Subject
Method of Renewal
Subject(s)
To Be
Renewed
College Credit Earned
Course Number
Last Name While
attending College
Name of Institution
Florida Inservice
Credit Number
of Points
FL Subject
Area Test
NBPTS
Certificate
18. INSERVICE CREDIT
Inservice Credit Completed Through on Approved Florida Master Inservice Program
Name of District or School : _____________________________________________________________________________________________
Inservice Program :
Starting Date:
Ending Date:
Includes “banked” Inservice Points
(select here)
I hereby verify that applicant satisfactorily participated in an approved Inservice teacher education program and earned
points to include
teaching students with disabilities credit (SWD) to renew the subjects shown above.
Signature of Authorized School Official
Position or Title
Date
CG-10RD RENEWAL APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION
Incorporated by 6A-4.0012, F.A.C.
PER0137 Pg. 3 of 5, Rev. 06/15
CG-10RD APPLICATION FOR RENEWAL
PERSONAL INFORMATION
OF A FLORIDA PROFESSIONAL EDUCATOR’S
CERTIFICATE - DISTRICT VERSION
Complete in UPPERCASE letters using only black or blue ink.
U.S. Social Security Number
DOE Number
First Name
Last Name
LEGAL DISCLOSURE (Florida Law requires you to provide a YES or NO response)
After answering each of the following questions, you must sign and date the Application and Legal Disclosure Affidavit to complete your
application. Please refer to the instructions in the Legal Disclosure Supplement on the reverse side of this page for additional information
regarding this section of the application form.
SEALED OR EXPUNGED RECORDS (Report ONLY sealed or expunged records in this section)
For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.
YES
NO
Have you ever had any record sealed or expunged in which you were convicted of a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you were found guilty of a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you had adjudication withheld on a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you pled nolo contendere to a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you pled guilty to a criminal offense?
YES
NO
Have you ever had any record sealed or expunged in which you entered into a pretrial diversion program or deferred
prosecution program related to a criminal offense?
YES
NO
Do you have a petition pending to seal or expunge any criminal offense record?
SEALED or EXPUNGED records MUST BE REPORTED pursuant to ss. 943.0585 and 943.059, Florida Statutes. However, existence of such records
WILL NOT BE DISCLOSED nor made part of your certification file which is public record.
CRIMINAL OFFENSE RECORD(S) (Report any record other than sealed or expunged in this section.)
For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.
YES
NO
Have you ever been convicted of a criminal offense?
YES
NO
Have you ever been found guilty of a criminal offense?
YES
NO
Have you ever had adjudication withheld on a criminal offense?
YES
NO
Have you ever pled nolo contendere to a criminal offense?
YES
NO
Have you ever pled guilty to a criminal offense?
YES
NO
Have you ever entered into a pretrial diversion program or deferred prosecution program related to a criminal offense?
YES
NO
Are there currently charges pending against you for any criminal offense?
PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)
For each of the following questions, if your answer is YES, please select YES. Otherwise, select NO.
YES
NO
Have you ever had a professional license or certificate sanctioned or disciplined in this state or any other state?
YES
NO
Have you ever been DENIED a professional license or certificate in this state or any other state even if the certificate or
license was later issued with conditions or limitations?
YES
NO
Have you ever had a professional license or certificate suspended or revoked in this state or any other state?
YES
NO
Have you ever surrendered, resigned, or relinquished a professional license or certificate in this state or any other state
during or following an investigation into allegations of misconduct?
YES
NO
Have you ever had a professional license or professional certificate disciplined in this state or any other state by
receiving a letter of reprimand, fine, probation or any other restriction or special condition?
YES
NO
Do you have any current investigative action pending in this state or any other state against a professional license or
certificate or against an application for a professional license or certificate?
YES
NO
Do you have any current disciplinary action pending in this state or any other state against a professional license or
certificate or against an application for a professional license or certificate?
If you answered YES to any of the preceding questions, you must complete all information within the Legal Disclosure Supplement on the reverse
side of this page. Please provide detailed information for each affirmative response and submit this form to complete your application.
CG-10RD RENEWAL APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 1
Incorporated by Rule 6A-4.0012, F.A.C. PER0137 Pg. 4 of 5, Rev. 06/15
LEGAL DISCLOSURE SUPPLEMENT
Florida Law requires you to provide a YES or NO answer to the questions within the Legal Disclosure section of your application, even if previously
submitted. If you answered YES to any question in the Legal Disclosure section on the application form, you must provide detailed complete
information for each affirmative response within the corresponding section in this Legal Disclosure Supplement.
You are not required to acknowledge minor traffic violations. The criminal offense of Driving Under the Influence (DUI) or Driving While Intoxicated
(DWI) is not a minor traffic violation and should be disclosed on this form.
Having a criminal history or administrative sanction against a professional license does not automatically disqualify a person from receiving a
Florida Educator’s Certificate, but such incidents will prompt a review by the Office of Professional Practices Services.
A person is ineligible for educator certification if the person has been convicted of a disqualifying offense as listed in Section 1012.315 Florida
Statutes. Please refer to www.myfloridateacher.com for more information.
First Name
Middle Name
Last Name
Former Name
Any Other Last Names /
Aliases
SEALED OR EXPUNGED RECORD(S)
City Where Arrested
State
Date of Arrest
Charge
Plea
Disposition (outcome)
State
Date of Arrest
Charge
Plea
Disposition (outcome)
CRIMINAL OFFENSE RECORD(S)
City Where Arrested
PROFESSIONAL LICENSE OR CERTIFICATE SANCTION(S)
State: ____________________________________
Year: __________________
License or Certificate: __________________________________________________
Issuing Agency: _____________________________________________________
Sanction and Reason: __________________________________________________
State: ____________________________________
Year: __________________
License or Certificate: __________________________________________________
Issuing Agency: _____________________________________________________
Sanction and Reason: __________________________________________________
State: ____________________________________
Year: __________________
License or Certificate: __________________________________________________
Issuing Agency: _____________________________________________________
Sanction and Reason: __________________________________________________
APPLICATION and LEGAL DISCLOSURE AFFIDAVIT
I,
, do hereby certify that I subscribe to and will uphold the principles incorporated
Print Name
in the Constitution of the United States of America and the Constitution of the State of Florida. I do hereby affirm that all
information provided in my application for a Florida Educator’s Certificate is true, accurate, and complete.
WARNING: GIVING FALSE INFORMATION IN ORDER TO OBTAIN OR RENEW A FLORIDA EDUCATOR’S CERTIFICATE IS A CRIMINAL OFFENSE
UNDER FLORIDA LAW. ANYONE GIVING FALSE INFORMATION ON THIS AFFIDAVIT IS SUBJECT TO CRIMINAL PROSECUTION, AS WELL AS
DISCIPLINARY ACTION BY THE EDUCATION PRACTICES COMMISSION.
____________________________________________________
Applicant's Signature
Date
CG-10RD RENEWAL APPLICATION FORM (DECEMBER 2014) - DISTRICT VERSION - LEGAL DISCLOSURE 2
Incorporated by 6A-4.0012, F.A.C. PER0137 Pg. 5 of 5, Rev. 06/15
What Type Of Training Do I Need For ESOL?
The following information is being provided to answer questions regarding ESOL compliance for educators.
I’m a Category 1 Teacher – What do I need?
This applies to a teacher who is responsible for Language Arts/English, Developmental Language Arts, Intensive Reading, or
Reading.
OPTION 1: ESOL Endorsement
OPTION 2: ESOL K-12 Certification
Complete the five (5) ESOL Endorsement classes:
Applied Linguistics
Cross Cultural Communication
ESOL Curriculum
Methods of Teaching ESOL
Testing and Evaluation of ESOL
When you obtain the ESOL Endorsement, you also bank 300
points that you may use toward subsequent renewals of your
certificate in any area.
(1) Take any two (2) of the ESOL Endorsement classes
and
(2) Take the ESOL K-12 Subject Area Exam (SAE)
Register at http://www.fl.nesinc.com/
Once you have obtained the ESOL K-12 Certification,
you will retain it on your Florida educator’s certificate
as long as you have taken 120 ESOL in-service points
or two (2) ESOL college classes prior to recertification.
This in-service or coursework needs to be within three (3)
years of adding the ESOL K-12 certification to your teaching
certificate.
When a Category I teacher who is not certified or endorsed in ESOL is assigned to teach a class in which an active ELL student
is enrolled, the teacher is identified as out of field. Once this occurs, the teacher is required to work toward ESOL
endorsement/certification regardless of whether or not they have ESOL students in their class in subsequent years. Beginning
with the 2011-2012 school year, Category I teachers must complete all ESOL training requirements consecutively, within a sixyear period. In other words, teachers must earn 60 in-service hours within the first two (2) years and 60 in-service hours each
year after until fulfilling the required hours. They may take more than the minimum required hours each calendar year, but
they cannot skip any years or double-up. The intent is for training to occur in a continuum in order to help the teacher
become proficient as soon as possible, thereby benefiting the ELL students.
Category 1 teachers MUST add the ESOL Endorsement or ESOL Certification to their teaching certificate to be in
compliance.
I’m a Category 2 Teacher – What do I need?
This applies to a secondary education teacher who teaches Social Studies, Mathematics, Science, or Computer Literacy.
60 ESOL in-service points OR 1 of the endorsement classes listed above.
Category 2 teachers CANNOT add the 60 ESOL in-service points to their teaching certificate. An in-service transcript will
document their compliance.
I’m a Category 3 Teacher – What do I need?
This applies to elective teachers: a teacher who is not in Category 1, 2, or 4 (i.e. Art, Music, Physical Education, Media
Specialists, Speech-Language Pathologists, Occupational Therapists, Foreign Language teachers, etc.).
18 ESOL in-service points OR 1 of the endorsement classes listed above.
Category 3 educators CANNOT add the 18 ESOL in-service points to their teaching certificate. An in-service transcript will
document their compliance.
I’m a Category 4 Administrator or Guidance Counselor – What do I need?
60 ESOL in-service points OR 1 of the endorsement classes listed above.
Category 4 personnel CANNOT add the 60 ESOL in-service points to their teaching certificate. An in-service transcript will
document their compliance.
Where is ESOL coursework offered?
SLPS Professional Development
Professional development opportunities for ESOL coursework are offered through the Electronic Registrar Online (ERO)
website. Visit https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947&function=Submit to view the professional
development calendar for St. Lucie Public Schools. Additional out-of-district professional development offerings are available
at http://share.stlucie.k12.fl.us.
Beacon Educator
Courses provide current research-based content featuring engaging and interactive learning activities.
http://www.beaconeducator.com/
Florida Atlantic University
The Department of Curriculum, Culture and Educational Inquiry (CCEI) at Florida Atlantic University offers ESOL coursework:
http://www.fau.edu/registrar/universitycatalog/welcome.php.
Hillsborough Consortium for Technology and Education
The Center for Technology and Education (CTechEd), also known as the Hillsborough Consortium for Technology and
Education, offers ESOL courses. Course descriptions can be obtained by visiting http://www.cteched.com. A $100
reimbursement is available per course through the Professional Development Department, however funding is limited.
Indian River State College
https://esweb.irsc.edu/Mariner/registration/coursesearch.jsp
North East Florida Educational Consortium (NEFEC)
Through the distance learning program in Instructional Services, educators are able to complete all Florida Department of
Education category requirements. http://www.nefec.org/events/
Schultz Center
The Schultz Center offers all ESOL courses mandated by the state of Florida to meet the requirements for teachers of ELLs.
Courses are delivered online via Blackboard, a web-based course management system, with corresponding assignments
submitted to the ESOL certified facilitator. You can find registration instructions at
http://www.schultzcenter.org/pdf/nondcpsreg.pdf. A $100 reimbursement is available per course through the Professional
Development Department, however funding is limited.
***Caution: If any of the courses you take do not have the same titles as the ones listed by FDOE as endorsement classes, they must be reviewed by Professional
Development to ensure that they are aligned to the five (5) classes and their objectives.***
How do I get my ESOL coursework on my ERO transcript?
Any ESOL in-service or coursework completed outside St. Lucie Public Schools MUST be applied to the teacher’s in-service
transcript by completing the following steps:
1. Log into ERO https://ero1.eschoolsolutions.com/user/Login.taf?orgId=34947 and click the “Course Catalog” tab.
Click on the “Request Out of District Transfer Credit” link at the top right of the screen. Follow the directions and
complete the mandatory fields.
2. Complete and submit the “Out of District Transfer Cover Sheet” (http://tinyurl.com/stluciepd6) with the
required documentation to the Professional Development Department.
How do I add the ESOL Endorsement to my Florida educator’s certificate?
Contact Ron Barr at 772/429-7512 or ronald.barr@stlucieschools.org for instructions on adding the ESOL Endorsement to a
Florida educator’s certificate.
When must the ESOL coursework be completed?
Revised Timelines - Updated September 2006 http://www.fldoe.org/aala/timeline.asp
Category I
Category II
Category III
Category IV
Experienced Teacher
6 years for completion of
ESOL Endorsement.
3 years for K-12 ESOL
coverage obtained by a
passing score on ESOL
Subject Area Exam.
1 year to complete
1 year to complete
Hires Prior to
September 5, 2003:
3 years to complete from
September 5, 2003
Category I
Category II
Category III
Category IV
6 years for completion of
ESOL Endorsement.
3 years for K-12 ESOL
coverage obtained by a
passing score on ESOL
Subject Area Exam.
2 years to complete
Beginning Teacher
2 years to complete
Hires After
September 5, 2003:
3 years to complete from
date hired as school
administrator or guidance
counselor.
Notes:
1
For ESOL Endorsement only - 3 semester hours or 60 in-service credit points within two years after the teacher first becomes responsible for the Language Arts instruction of a LEP student. 3 semester hours or
60 in-service credit points each subsequent year that the teacher continues to be responsible for the Language Arts instruction of a LEP student, until a total of 15 semester hours or 300 in-service credit points
have been earned.
2
All other administrators (district-level) are required to receive training in the terms of the Consent Decree, Cross-Cultural communications and delivery of comprehensible instruction. However, no specific
number of in-service points or hours are required.
3
As described in K12 Memo 2006-121, Reading Endorsement for Teachers of Developmental Language Arts Courses in Grade 6-12 and as noted in the Florida Course Code Directory, teachers assigned to teach
Developmental Language Arts or Reading to English language learners (ELLs) are required to obtain the ESOL Endorsement. It is also important to note that teachers assigned to teach Developmental Language
Arts as an alternative to Intensive Reading are required to obtain the Reading Endorsement by beginning of the 2007-08 school year.
Updated 01/15
MG