Connecticut Ed 177 Form – Fill Out and Use This PDF

Connecticut Ed 177 Form PDF Details

The Connecticut ED 177 form is the official DSAP application used by schools and school districts across Connecticut. The Durational Shortage Area Permit allows districts to hire candidates for teaching positions in subject areas where no fully certified teacher is currently available. The Bureau of Educator Standards and Certification reviews and approves each submitted application from the employing district.

Who Completes Each Section

The ED 177 application involves three parties. Each party completes specific sections and provides supporting documentation:

• The candidate completes Parts I, II, and III, which cover personal information, education history, and the attestation statement.
• The school or district official completes Parts VI and VII, including employer documentation and the Evidence of Enrollment form.
• The educator preparation provider completes the Evidence of Enrollment section when the candidate is actively enrolled in an approved educator preparation program.

Required Documents for the Application

Each party must include specific attachments with their completed sections. Required documents vary based on applicant status and program enrollment.

• Official transcripts from all previously attended institutions
• Evidence of active enrollment in an approved educator preparation program
• Prior DSAP documentation for candidates seeking reissuance in the same subject area
• Completed employer statements from school or district officials

DSAP Reissuance Process

The form also covers the reissuance process for candidates who have previously held a DSAP. To qualify for reissuance, candidates must demonstrate continued compliance with Connecticut state requirements and show ongoing progress toward full educator certification in their subject area.

Connecticut Endorsement Codes

The ED 177 form includes a complete list of Connecticut endorsement codes. These codes cover teaching specializations across all approved subject areas, helping school districts identify and submit DSAP applications for educators in shortage positions throughout Connecticut.