4.If you have answered “yes” a signed letter of explanation, as well as any public documentation pertaining to the disciplinary action must be submitted with this application.
5.If you have answered “yes” a signed letter of explanation, as well as any public documentation pertaining to the disciplinary action must be submitted with this application.
6.If you have answered “yes” please include the following in your application (A YES answer does not automatically prevent an applicant from obtaining a PA certificate):
•a signed letter of explanation;
•your resume;
•certified court documents related to all criminal matters;
•a current, original FBI Clearance or registration identification number;
•a current, original PA Criminal Background Check;
•a current, original PA Child Abuse Clearance;
•five letters of reference (at least three must be professional references); and
•a letter from your probation officer, if applicable.
7.If you have answered “yes” please attach the additional documentation as listed above.
SECTION V: Code of Conduct
The Pennsylvania’s Code of Professional Practice and Conduct for Educators may be found at http://www.pde.state.pa.us/pspc/cwp/view.asp?a=3&q=113571. Review the code and check the box indicating that you have read and will abide by the Pennsylvania’s Code of Professional Practice and Conduct for Educators.
SECTION VI: Affidavit
Complete the Affidavit section by Signing and dating the application. Your signature certifies that all of the information provided in the application is correct and true. Misrepresentation/falsification may result in professional discipline and the revocation of your Pennsylvania certificate.
COMPLETING THE APPLICATION
The primary reason for delays in processing certification applications is missing or incomplete information on the 338G form and/or missing documentation. If there is missing or incomplete information, and/or missing documentation, your application will not be processed and will be returned to you. All signatures and corresponding dates must be within one year of application submission.
Before mailing, review the application and ensure:
□The information entered on the 338G form is complete and accurate (ensure that you have enclosed both pages of the 338G form)
□A U.S. Licensed Physician has signed the form, if applicable
□All required documentation is enclosed
□The 338 G form has been signed and dated
□Enclose a U.S. Money Order ($40 In-State/$80 Out-of-State) made payable to the Commonwealth of Pennsylvania with your application. The Bureau of School Leadership and Teacher Quality is unable to accept personal checks, cash, or credit cards. The non-refundable fee will be retained by the
Commonwealth whether or not the transaction results in the issuance of a certificate.
Mail the General Application-Form PDE 338 G, U.S. money order, and supporting documents to:
Bureau of School Leadership & Teacher Quality
Pennsylvania Department of Education
333Market Street, 3rd Floor Harrisburg, PA 17126-0333
Please Note: If you are pursuing certification directly through a Pennsylvania teacher preparation program, the application should be submitted to the college/university. Please bring your completed application packet to the college/ university—do not mail to PDE.