Kansas State Department of Education Teacher Education and Licensure

Kansas State Department of Education Teacher Education and Licensure 120 SE 10 th Avenue, Topeka, KS 66612-1182 Phone: 785-296-2288 www.ksde.org Requirements for Initial Kansas License Kansas regulations provide for a two-year conditional license, a five-year professional license or a ten-year accomplished license. Applicants will be issued the highest level of license they qualify for based on review by staff of the documentation provided. Accomplished Professional Conditional An advanced level license for an individual who has completed an advanced performance assessment 1. National Board Certification 2. Valid professional teaching license A 2 nd level license that is maintained through professional development 1. Bachelor s degree from a regionally accredited college or university 2. Completion of a state-approved preparation program in the subject or field in which certification/licensure is sought 3. Recency: defined as at least one year of accredited teaching experience 8 semester hours of college credit, within the six year period immediately prior to application 4. Out-of-state professional license AND 5. 3 years of recent accredited experience under a professional license Completion of assessments in content and pedagogy, and a performance assessment A license for an individual to begin practice while preparing for the professional license 1. Document 1-4 listed under professional AND 2. Must have content and pedagogy tests May be issued an exchange license if applicable May be issued a one-year nonrenewable license if hired by a Kansas district A substitute license until content and pedagogy tests are completed. Fingerprint background check clearance is required for all applicants Form 2 Initial Out-of-State 1

Application Steps: All Applicants Must Follow These Steps F O R M 2 Step 1: Complete the Application Form 2, sections I through V Step 2: Attach a complete set of official transcripts:! In sealed envelopes from all institutions where a degree was earned AND all institutions where related educational coursework was completed. Step 3: Obtain Verification of Completion of Approved Preparation Programs Send the verification Form 2a to the licensure officer at the institution where your preparation program(s) for teaching, and/or leadership or school specialist were completed. If programs were completed at more than one institution, a form will need to be completed by EACH institution where a program was completed. You may photocopy the form. The licensure officer should return the completed form to you in a sealed envelope. Step 4: Attach a copy of a valid out-of-state license Step 5: Verify your accredited experience during the last six years include copies of licenses valid during the experience that is verified Step 6: Attach the original official score report(s) of assessments if applicable refer to assessment sheet to determine which score reports are applicable. Photocopies of score reports are not acceptable. Step 7: Include $39.00 fee (check or money order) and mail all documents together in a single packet. Do not combine this fee with the background fee if you are submitting fingerprints. Step 8: Obtain fingerprints from a qualified law enforcement agency submit the card and fingerprint background check fee of $44 as directed in the fingerprint card instructions. (DO NOT BEND CARD) PLEASE NOTE! An incomplete packet will be returned unprocessed.! The application and background check fees are nonrefundable, and do not guarantee a license will be issued.! Accredited experience is defined as half-time or more under contract in an accredited school system while holding a certificate or license valid for the specific assignment.! To add an endorsement: The licensure officer or dean of education of the institution where you completed the approved endorsement program must fully complete Form 2a. Official transcripts from your out-of-state institution must also be included showing the coursework in the added endorsement area. Graduates of Kansas programs should contact the Kansas institution for the appropriate form. The appropriate Praxis II content assessment in the added endorsement area is required. Verify the content assessment by submitting the official score report. Form 2 Initial Out-of-State 2

I. VITAL INFMATION Application for Kansas I NITIAL L ICENSE AND A DDED E NDSEMENTS from Non-Kansas Institutions 1. Social Security Number - - 2. Legal Name (First) (Middle) (Last) 3. List all prior names (maiden, alias, previous married, etc.) 4. Mailing Address City State Zip Code 5. Birthdate (MM/DD/YYYY) 6. Gender " Male 7. Phone: - - " Female Alternate Phone: - - II. PROFESSIONAL CONDUCT (All questions must be answered) 8. a. Have you ever been convicted of a felony? NO YES If yes, please attach a copy of the court documents regarding conviction. b. Have you ever been convicted of ANY crime involving theft, drugs, or a child? NO YES If yes, please attach a copy of the court documents regarding conviction. c. Have you entered into a criminal diversion agreement after being charged with any offense described in question 8a or 8b? NO YES If yes, please attach a copy of the diversion agreement. d. Are criminal charges pending against you in any state involving any of the offenses described in question 8a or 8b? NO YES If yes, please attach a copy of the court documents regarding your case. e. Have you had a teacher s or school administrator s certificate or license denied, suspended or revoked in any state? NO YES If yes, please indicate the action taken: denied, suspended or revoked. Which state(s)? Please attach a copy of the documents regarding the official action taken. f. Is disciplinary action pending against you in any state regarding a teacher s or administrator s certificate or license? NO YES If yes, please attach a copy of the official documents regarding the action pending against you. g. Have you ever been terminated, suspended, or otherwise disciplined by a local Board of Education for falsifying or altering student tests or student test scores? NO YES If yes, which district(s)? When? h. Have you ever falsified or altered assessment data, documents, or test score reports required for licensure? NO YES If yes, what state(s)? When? Include a $39.00 Application Fee made payable to the Kansas State Department of Education. Money order or cashier s check preferred. Personal checks accepted. DO NOT SEND CASH. Mail to: Teacher Education and Licensure, KSDE, 120 SE 10 th Avenue, Topeka, KS 66612-1182. Processing fee CANNOT be refunded and does not guarantee a license will be issued. Form 2 Initial Out-of-State 3

III. EDUCATIONAL INFMATION 9. List all colleges and universities where courses were taken in order of attendance. Name of College/University State Type of Degree MM/DD/YY Conferred Degree Information Major for Degree Earned No Degree Earned at This Institution Last Term of Attendance IV. REQUEST INFMATION 10. Subjects and levels of licensure requested: Subject: Subject: Subject: Subject: Levels: Levels: Levels: Levels: V. VERIFICATION STATEMENT 11. I certify that the information on this application is true and complete to the best of my knowledge. I understand that any misrepresentation of facts may result in the denial or revocation of my license. Signature of Applicant Date Form 2 Initial Out-of-State 4

F O R M Kansas 2A Completion of Approved Preparation Program(s) Verification by Institution TO THE APPLICANT: Fill in the information on this page. Please print legibly or type. Submit to the Licensure Officer or Dean of Education of the institution where you completed your preparation program(s). They will complete the back and return to you. Social Security Number First Name Middle Name Last Name Maiden Name Street Address City State Zip Code Phone Number I hereby give my verifying licensing institution permission to release any and all information needed. Signature of Applicant Date Form 2 Initial Out-of-State 5

Applicant Name: Social Security Number: TO THE DESIGNATED LICENSURE OFFICER: 1. Fill in one of the boxes below and all other sections. 2. Affix your institution s official stamp or seal to the bottom right side of the page. 3. Return to the applicant in a sealed envelope to the address listed on the front page. The applicant completed requirements for the following degree from this institution: " Bachelor s " Master s " Education Specialist " Doctorate AND Completed an approved preparation program in the licensure area(s) of: (e.g. elementary education, secondary mathematics, all level art, school counselor, building leadership, etc.) Program Completed Grade Level Date Program Completed The applicant did not earn a degree from this institution, but completed an approved preparation program at the degree level of: " Bachelor s Level " Post-Baccalaureate Level " Graduate Level AND in the licensure area(s) of: (e.g. elementary education, secondary mathematics, all level art, school counselor, building leadership, etc.) Program Completed Grade Level Date Program Completed Check One:! The applicant completed preparation program(s) approved by the state of in the areas(s) and at the level(s) verified. The approved program was in effect during the applicant s period of program completion.! The preparation program completed by the applicant is not a program approved by the state of. An explanation of the approval/accreditation of the program is attached. Authorized Signature Address Print Name City State Zip Code Title Phone Number Name of Institution AFFIX OFFICIAL STAMP SEAL Form 2 Initial Out-of-State 6

VERIFICATION OF ACCREDITED EXPERIENCE F KANSAS LICENSURE SECTION A TO BE COMPLETED BY APPLICANT Social Security Number - - Legal Name (First) (Middle) (Last) Mailing Address City State Zip Code Birthdate (MM/DD/YYYY) Gender " Male Phone: - - " Female Alternate Phone: - - Former Name(s) " I have no accredited experience in the most recent six (6) year period. " I hereby give my former and/or current employer permission to release any and all information required in Section B. Signature of Applicant SECTION B TO BE COMPLETED BY EMPLOYING SYSTEM The above named individual was employed in our school system as verified below. Name of School System Accreditation Information State Accredited School? " NO " YES If not state accredited, attach verification of accreditation status. School Street Address City State Zip Code Date Beginning Date of Employment (MM/DD/YYYY) Ending Date of Employment (MM/DD/YYYY) Assignment Include teaching, administrative, and school specialist assignments Grade Level " Experience was full-time under contract " Experience was at least half-time (.5 FTE) but less than full-time " Experience was less than half-time under contract Total number of years employed in the district Administrator s Name (Please Print or Type) Administrator s Position School Phone Number Administrator s Signature PLEASE RETURN TO APPLICANT IN A SEALED OFFICIAL SCHOOL ENVELOPE THIS FM MAY BE DUPLICATED F ADDITIONAL EMPLOYERS Date Form 2 Initial Out-of-State 7

NO Which License Do I Qualify For? Are you National Board Certified? YES Apply for an NO DO 1. YOU Three HAVE: years of recent (within the last 6 years) accredited experience under a professional level license 2. Three assessments: a. A content knowledge assessment like the Praxis II content assessments in each of the subject fields you are seeking licensure AND b. A test of pedagogy like the Praxis II Principles of Learning and Teaching AND c. A performance assessment YES ACCOMPLISHED LICENSE Attach copy of NBC to Form 2 along with other documentation in Application Steps Apply for a PROFESSIONAL LICENSE Attach verification of experience or official score reports to Form 2 along with other documentation in Application Steps You are exempt from the content and pedagogy assessments (a & b) if you were initially certified/licensed prior to May 1, 1986 NO 1. A content knowledge assessment (like the Praxis II assessments) in each of the subject fields you are seeking licensure AND 2. A test of pedagogy (like the Praxis II Principles of Learning and Teaching) 3. Are exempt from these two tests Apply for a CONDITIONAL LICENSE Attach official score reports to Form 2 along with other documentation in Application Steps You are exempted from the content and pedagogy assessments if you were initially certified/licensed prior to May 1, 1986. ARE YOU: NO DO YOU HAVE: A graduate of a program in Iowa, Minnesota, Missouri, Nebraska, North Dakota, Ohio, Oklahoma and South Dakota and Wisconsin. If you completed your state-approved program in one of these Central States Exchange Agreement states and hold a valid standard certificate/license in that same state, but are deficient the assessments, recency or GPA you qualify for an exchange license. YES YES Apply for an EXCHANGE LICENSE Attach a copy of valid out-of-state certificate/license to Form 2 along with other documentation in Application Steps NO DO YOU: Meet all other requirements but have not completed the assessments, AND You have been offered a full-time teaching contract by a Kansas district YES Apply for a ONE-YEAR NONRENEWABLE Attach the completed one-year nonrenewable form to Form 2 along with other documentation in Application Steps HAVE YOU: Earned a degree and completed a teacher preparation program. YES Apply for a SUBSTITUTE LICENSE Use Form 5 Form 2 Initial Out-of-State 8

Verify Which Assessments Are Required 1. Are you National Board Certified? If so, you do not have to verify any of the assessments. Stop here - Apply for an accomplished license. 2. Do you have 3 years of accredited experience within the last 6 years and an out-ofstate professional level license? If so, you do not have to verify any assessment. Stop here - Apply for a professional license. 3. When were you first certified/licensed in any state? IF PRI TO MAY 1, 1986: You are required to complete a performance assessment - an approved performance assessment in another state is accepted IF AFTER MAY 1, 1986: Required Kansas Assessments CONTENT Assessment PERFMANCE Assessment If already completed If not yet completed Principles of Learning and Teaching (PLT) LICENSE QUALIFIED F Professional License Conditional license PERFMANCE Assessment LICENSE QUALIFIED F Complete for all endorsement fields. (A content assessment approved in another state is accepted) Complete the level appropriate to your educational training. (A pedagogy assessment approved in another state is accepted) (An approved performance assessment in another state is accepted) Your assessment status Completed Completed Completed Professional Completed Completed Not taken Conditional (performance assessment completed during conditional license) Substitute, Only 1 completed neither completed Not taken Exchange, or Oneyear nonrenewable Form 2 Initial Out-of-State 9

Licensure assessments are administered by Educational Testing Service (ETS) REGISTER for the test(s) online at www.ets.org/praxis 1. To review the list of tests and specific Kansas requirements, click on State Requirements at the top of the page directly under the large ETS logo heading. Choose Kansas from the list of states. Determine the appropriate tests for your license. A list of tests is also printed on the back of this page. 2. When you are ready to register: choose Registration under the heading Praxis II and follow the registration links and instructions. 3. The heading Test Preparation will provide you with options for test review. GIFTED, LATIN and JOURNALISM educators: a content assessment is not required at this time for an endorsement in these areas. Content Tests Form 2 Initial Out-of-State 10

Endorsement (Code) Level Test # Content Test Qualifying Score Agriculture (70101) Grades 6 12 0700 Agriculture 470 Art (70201) PreK 12 0133 Art: Content Knowledge 156 Biology (71311) Grades 6 12 0235 Biology: Content Knowledge 150 Building Leadership PreK 12 1010 School Leaders Licensure Assessment 165 (73010) Business (70399) Grades 6 12 0100 Business Education 590 Chemistry (71321) Grades 6 12 0245 Chemistry: Content Knowledge 152 Chinese (70671) PreK 12 No Test Required -- Communication Grades 6 12 0050 Technology Education 570 Technology (71083) Deaf or Hard-of-Hearing Birth Gr 3 0271 Education of Deaf and Hard of Hearing 163 (71911) PreK 12 Students District Leadership PreK 12 1020 School Superintendent Assessment 157 (73006) Early Childhood Unified Birth Gr 3 0021 Education of Young Children 172 (76089) Earth and Space Grades 6 12 0571 Earth Science: Content Knowledge 150 Science (71381) Elementary (71800) K 6 0011 Elementary Education: 163 Curriculum Instruction, and Assessment English Language Arts Grades 5 8 0049 Middle School English Language Arts 165 (70501) English Language Arts Grades 6 12 0041 English Language, Literature, and 165 (70501) ESOL (70591) K 6 Grades 5 8 Grades 6 12 PreK 12 Composition: Content Knowledge 0360 English to Speakers of Other Languages 500 Family and Consumer Science (70901) Grades 6 12 0121 (0120) Family and Consumer Sciences 162 (600) French (70601) PreK 12 0173 French: Content Knowledge 166 German (70611) PreK 12 0181 German: Content Knowledge 158 Gifted (71912) K 6 Grades 5 8 Grades 6 12 PreK 12 No Test Required -- Health (70802) PreK 12 0550 Health Education 620 History and Government Grades 6 12 0081 Social Studies: Content Knowledge 158 (71599) History Comprehensive Grades 5 8 0089 Middle School Social Studies 155 (71592) Instrumental Music PreK 12 0113 Music: Content Knowledge 152 (71211) Japanese (70661) PreK 12 No Test Required -- Journalism (70521) Grades 6 12 No Test Required -- Latin (70621) PreK 12 No Test Required -- Library Media Specialist PreK 12 0310 Library Media Specialist 630 (72024) Mathematics (71121) Grades 5 8 0069 Middle School Mathematics 158 Mathematics (71121) Grades 6 12 0061 Mathematics: Content Knowledge 137 Music (71287) PreK 12 0113 Music: Content Knowledge 152 Other Foreign Language PreK 12 No Test Required -- (70651) Physical Education PreK 12 0091 Physical Education: Content Knowledge 148 (70801) Physics (71331) Grades 6 12 0265 Physics: Content Knowledge 141 Power, Energy, Transportation Technology (71084) Grades 6 12 0050 Technology Education 570 Principles of Learning & EC 0521 Early Childhood 161 Form 2 Initial Out-of-State 11

Endorsement (Code) Level Test # Content Test Qualifying Score Teaching Principles of Learning & K-6 0522 Elementary 161 Teaching Principles of Learning & Grades 5 8 0523 Middle Level 161 Teaching Principles of Learning & Grades 6 12 0524 Secondary 161 Teaching Production Technology Grades 6 12 0050 Technology Education 570 (71085) Program Leadership PreK 12 0410 Educational Leadership: Administrative and 590 (73005) Supervision Psychology (71581) Grades 6 12 0390 Psychology 550 Reading Specialist PreK 12 0300 Reading Specialist 560 (70541) Russian (70631) PreK 12 No Test Required -- School Counselor PreK 12 0420 School Guidance and Counseling 600 (72004) School Psychologist (71901) Birth Gr 3 PreK 12 0401 (0400) School Psychologist 157 (610) Science (71341) Grades 5 8 0439 Middle School Science 149 Spanish (70641) PreK 12 0191 Spanish: Content Knowledge 167 Special Education Adaptive (71989) 0353 160 Special Education Functional (71990) K 6 Grades 5 8 Grades 6 12 PreK 12 K 6 Grades 5 8 Grades 6 12 PreK 12 0542 0353 0544 Education of Exceptional Students: Core Content Education of Exceptional Students: Mild to Moderate Disabilities Education of Exceptional Students: Core Content Knowledge Education of Exceptional Students: Severe to Profound Disabilities Speech/Theatre Grades 6 12 0220 Speech Communication 590 (705551) Technology Education Grades 6 12 0050 Technology Education 570 (71082) Visually Impaired Birth Gr 3 0280 Teaching Students with Visual Impairments 710 (71910) PreK 12 Vocal Music (71221) PreK 12 0113 Music: Content Knowledge 152 Updated 7-23-08 169 160 159 Form 2 Initial Out-of-State 12

Kansas State Department of Education Teacher Education and Licensure F O R M 17 120 SE 10 th Avenue, Topeka, KS 66612-1182 Phone: 785-296-2288 http://www.ksde.org S p e c i a l E d u c a t i o n E n d o r s e m e n t P r o f e s s i o n a l E d u c a t i o n C o m p e t e n c i e s F o r m An applicant for a special education endorsement in Kansas must have completed a state-approved program to teach general (regular) education students this requirement may be met through completion of certain competencies in a professional education component. Verification that these competencies have been addressed should be obtained by mailing this form to the licensure officer of the teacher education institution to be completed along with form 2A. 1. Name: 2. Social Security #: This section is to be completed by the Applicant 4. Address: City: State: Zip: 5. Dates Attended This Institution: This section is to be completed by the Licensure Officer Kansas licensure regulations require that individuals applying for a special education endorsement complete a professional education component that allows students to acquire all of the following: 1. knowledge of human development and learning; 2. knowledge of general education foundations; 3. knowledge of interpersonal relations and cultural influences; 4. knowledge of teaching methodology; and 5. the ability to apply the acquired knowledge to teach non-exceptional students. Did the program completed by this applicant contain all five of the above professional education competencies? " YES " NO Please sign this statement, affix the institution stamp or seal, and return it to the applicant in a sealed envelope. Signature of Licensure Officer: Name of Institution: Phone Number: ( ) Date: Form 2 Initial Out-of-State 13

Qualifications for School Specialist and School Leadership Licenses Type of License Conditional Professional School Specialist 1. Graduate degree 2. Completion of graduate level program 3. 3.25 cumulative GPA in graduate coursework 4. Recency 5. Currently valid professional teaching license (if applying for counselor, library media, reading specialist) 6. School specialist assessment Document 1-5 for the conditional AND Successful completion of a school specialist content and performance assessment Three years of recent accredited experience in a school specialist position School Leadership a. Graduate degree b. Completion of graduate level program c. 3.25 cumulative GPA in graduate coursework d. Recency e. Three years of accredited experience under a valid professional license/certificate f. School leadership assessment Document a-e for the conditional AND Successful completion of a school leadership content and performance assessment Three years of recent accredited experience in a school leadership position Follow application steps and submit all documentation indicated. Make sure that a Verification of Completion of Approved Preparation Programs (Form 2a) is submitted for each leadership or school specialist program completed in addition to any teaching endorsement programs you completed. You may also need to verify additional accredited experience as a school specialist or school leader beyond the experience verification of the last six years. Form 2 Initial Out-of-State 14