Connecticut Form ED 174 – Fill Out and Use This PDF

Connecticut Form ED 174 PDF Details

The Connecticut Form ED 174 is an application for substitute teacher authorization. It is designed for candidates who have not completed a four-year college degree. The Connecticut State Department of Education's Bureau of Educator Standards and Certification issues this authorization.

What the Form Covers

The ED 174 form asks for three types of information:

• Personal details: Your name, address, phone number, and Social Security number.
• Educational background: All colleges and institutions you attended, credit hours completed, and any degrees or certificates you hold.
• Experience with children: Any prior work or volunteer experience you have had with school-age children.

Criminal History Check Requirement

Connecticut General Statutes Section 10-221d requires all applicants to pass a criminal history records check. The form asks you to disclose past convictions and any dismissals from previous school positions. If you answer "yes" to any question, you must explain the circumstances in writing. All answers are reviewed before the state approves your application.

Employer Verification

Your school district must sign the ED 174 form before it goes to the state. An authorized district representative reviews your application and adds their verification signature. Without this step, the state will not process your request.

Who Uses This Form

This form is for anyone who wants to substitute teach in Connecticut public schools but does not yet hold a bachelor's degree. Applicants with a completed degree use a different certification path. To learn about related documents, see our background check consent form or our certification renewal form.