Form Ed 125 PDF Details

Form Ed 125 is a new form that has been released by the IRS to help with the new Form 1040. This form is designed to help taxpayers identify their filing status and standard deduction amount.Form Ed 125 also helps to calculate the correct tax withholding amount for your state. If you have any questions about how to complete this form, be sure to consult with a tax professional.

QuestionAnswer
Form NameForm Ed 125
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesed_125 ct doe certification form

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ED 125

CONNECTICUT STATE DEPARTMENT OF EDUCATION

REV. 9/12

Bureau of Educator Standards and Certiication

C.G.S. 10-145

P.O. Box 150471 – Room 243

C.G.S. 10-145d, P.A. 03-168

Hartford, CT 06115-0471

 

www.ct.gov/sde

STATEMENT OF PREPARING HIGHER EDUCATION INSTITUTION

This institutional recommendation must be signed by the administrative oficial authorized to make such a recommendation, the dean of education or certiication oficer, and must include the embossed or colored seal of the college or university.

PRINT all information in blue ink and in uppercase letters.

LAST NAME

 

SOCIAL SECURITY NUMBER

FIRST NAME

 

 

 

 

 

 

 

 

MI

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

BIRTH DATE (Month-Day-Year)Required

 

 

 

NAME OF HIGHER EDUCATION INSTITUTION

CITY, STATE, ZIP CODE

The section below must be completed fully by the authorized college or university oficial.

1.The applicant has successfully completed an approved, planned program for certiication in:

(subject/ield/grade)

2a. Student teaching/practica/internship was completed at (school/district)

in (grade/subject)

 

from

 

to

 

 

2b. Student teaching/practica/internship was completed at (school/district)

in (grade/subject)

 

from

 

to

2c. Was student teaching/practica/internship waived on the basis of pre-approved experience? Yes Please attach a written explanation and a Statement Of Professional Experience form.

No

3.Subject-area major: ___________________________________________________________________________

4.Date applicant completed all planned program requirements: (mm/dd/yyyy) ___ ___ / ___ ___ / ___ ___ ___ ___

5. Is the applicant recommended for certiication as a school psychologist with an internship deiciency? Yes

No

6.Is the applicant unconditionally recommended for certiication (has satisfactorily completed this institution’s approved planned program, has the qualities of character and personal itness for teaching and is competent in the area for which the

endorsement is sought)? Yes

No

SIGNATURE OF DEAN OF EDUCATION OR CERTIFICATION OFFICER

TITLE

 

 

(ORIGINAL SIGNATURE: NO SIGNATURE STAMPS ACCEPTED)

 

 

 

 

 

 

 

TYPED OR PRINTED NAME OF PERSON SIGNING ABOVE

DATE SIGNED

(

)

 

 

 

 

 

 

 

 

TELEPHONE

E-MAIL ADDRESS

Institution Accreditation:

NCATE

Regional Accrediting Agency

Other ___________________

PLACE COLLEGE OR UNIVERSITY SEAL HERE

Information on this application is subject to disclosure pursuant to the Freedom of Information Act.