Form Ot 37 PDF Details

Embarking on the journey to obtain Permanent or Professional certification in New York involves more than just completing coursework and passing exams; it necessitates a thorough demonstration of relevant, hands-on experience in education. This is where the OT 37 form comes into play—a crucial document for educators marching towards certification through The University of the State of New York, STATE EDUCATION DEPARTMENT's Office of Teaching Initiatives. Whether one aspires to secure a Permanent Certificate, requiring two years of paid work in a recognized setting, or a Professional Certificate, demanding three years, the verification of this professional journey is a pivotal step. The form meticulously records one's teaching tenure, including specifics such as the subject taught, time frames, and the educational establishment's details, each verified by an administrative figure. However, in instances where there is a discrepancy or lack of record regarding one's claimed experience in an eligible institution, the OT 37 form also outlines the supplementary evidence needed to meet the State's criteria. This might include anything from permits issued by relevant authorities to official approvals, ensuring every candidate's transition to certification is as smooth and verifiable as possible.

QuestionAnswer
Form NameForm Ot 37
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesot37 professional certificate form

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The University of the State of New York

THE STATE EDUCATION DEPARTMENT

Office of Teaching Initiatives, Room 5N-EB

89 Washington Avenue

Albany, New York 12234

www.highered.nysed.gov/tcert

Verification of Experience for Permanent/Professional Certificate

Check One: ____

Permanent Certificate in

_______________________________________________________

 

 

(Certificate Title)

____

Professional Certificate in

_______________________________________________________

 

 

(Certificate Title)

In response to your inquiry regarding Permanent/Professional certification in the above title, your application cannot be processed until the status of the required experience has been verified. For Permanent certification, Commissioner's Regulations require two years of paid work experience in a public or approved non- public/independent school. For Professional certification, Commissioner's Regulations require three years of paid work experience in a public or approved non- public/independent school. To have your experience considered for this requirement, please supply the information as noted below and return this form to the above address.

Name: __________________________________________________________________________________________

(First)(Middle) (Maiden)(Last)

Address: _________________________________________________________________________________________

(Number)

 

(Street)

 

(Apartment)

__________________________________________________________________________________________

(City)

 

 

(State)

(Zip Code)

Date of Birth: _________/_______/__________

Social Security Number: _______/_____/________

(MM)

(DD)

(YYYY)

 

 

Select 1 or 2:

_____ 1. The candidate named above served as a full-time teacher* of _______________________________________

 

 

 

(Subject)

 

 

 

___________________

FROM: ___________/______/________ to ________/______/_______

(Grade Level)

(MM)

(DD)

(YYYY)

(MM)

(DD)

(YYYY)

At ________________________________________________________________________________________

(Name of School)

 

Verified By:

 

_________________________________________

_____________________________________________

(Print name of Administrator)

(Signature of Administrator)

_________________________________________

_____________________________________________

(Administrative Title**)

(Date)

__________________________________________________________________________________________

(Name of School)

__________________________________________________________________________________________

(Address of School)

*Experience as a teaching assistant, aide, or paraprofessional is not applicable.

**Signature of the superintendent of schools, community superintendent or borough high school superintendent is required. If experience was earned in a non-public/independent school, the chief school officer's signature is required.

OT 37 (Rev. 11/2009)

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_____ 2. You listed on your application experience at __________________________________________________

We have no record that this a NYS public school or an approved non-public/independent school. Therefore, please attach the following:

_____ (a) Photocopy of day care center permit issued by New York State Department of Social Services

or New York City Department of Health.

_____ (b) Verification of nursery school/kindergarten registration issued by New York State Education

Department, Bureau of Child Development and Parent Education.

_____ (c) Verification of private special education school approval issued by New York State Education

Department, Office of Education of Children with Handicapping Conditions.

_____ (d) Other _______________________________________________________________________

OT 37 (Rev. 11/2009)

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