Credential Application Form

This form is to be used by all candidates enrolled in credential preparation programs at the Kalmanovitz School of Education (KSOE). Additional information regarding the credential process can also be found through the Credential Office website.

ACKNOWLEDGMENT

Candidates should only use this form after they have completed and submitted all requirements of the program. 

Please provide month, day and year. Example format: 00/00/0000
This CTC flexibility allows MSTE and SPED candidates to defer the RICA prior to earning a Preliminary Credential only if the candidate was unable to complete it between March 19, 2020, and June 30, 2022, due to testing center closures or capacity issues related to COVID-19. To use this flexibility, candidates must apply for their credential before the RICA deferral expires on June 30, 2022.
This CTC flexibility allows MSTE, SSTE, and PASC candidates to defer the TPA prior to earning the Credential only if the candidate's completion of TPA was impacted by school site closures related to COVID-19, was in the process of completing TPA at the time of school closure, was unable to complete the performance assessment due solely to school closures. To use this flexibility, candidates must apply for their credential before the TPA deferral expires on August 30, 2022.

Acknowledgement

By submitting this document I am indicating that I have met the following requirements and I am ready for the Credential Analyst to begin reviewing my credential application for submission to the CTC:

  • I have met all KSOE program requirements.
  • The above email and phone number will be valid for 90 days.
  • I understand that I must pay for my credential on the CTC website within 90 days of receiving my CTC recommendation email.
  • I have confirmed that my CTC account has accurate and current contact information for me (www.ctc.ca.gov)
  • I understand the conditions required for using the RICA (PSA 21-13) and TPA (PSA 21-12) deferrals.