Special Education Behavior Intervention Specialist Endorsement Application

Name *

First

Last

Mailing Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number (including area code) *

Email *

Date of Birth (month, day, year) *

Upload All Transcripts (combine into 1 file). Transcripts can be unofficial for the application. *

Click or drag files to this area to upload. You can upload up to 5 files.

You must have earned a Bachelor’s degree in any field from an accredited institution (verified with transcript). Your cumulative GPA (or junior/senior year) must be a minimum of 2.75. You will verify this with your transcript(s). For the application, you can submit unofficial transcripts. If accepted into CC’s program, you will submit an official transcript(s) prior to starting.

Upload Completed Background Check or current ND Educator's Professional License *

Click or drag a file to this area to upload.

You must pass a Criminal History Record Check check (no older than 3 months) or submit a copy of your current ND’s Educator Professional License (expired license can’t be accepted). Regarding the background check, do this right away as the process can take a while. Use the following link to request the Non-Criminal Justice Request for Criminal History Record Information. Be sure to read through the instructions carefully. https://attorneygeneral.nd.gov/sites/ag/files/documents/CHR-NonCJ-RequestSFN50744.pdf Attach the receipt of a cleared background check in your application

Upload 3 Letters of Recommendation *

Click or drag files to this area to upload. You can upload up to 3 files.

You need 3 professional letters of recommendation that speak to your experiences or interests in the area of behavior Please avoid submitting references from friends and family. You will collect these letters then submit them when you complete the application.

Upload Two Essays - You will find the description below *

Click or drag files to this area to upload. You can upload up to 2 files.

Two essays approximately 2-pages in length each: • Essay 1: Explain your experiences or interests in working with individuals with emotional/behavioral needs and what you learned from these experiences. Identify and explain two professional goals. • Essay 2: Certification Central’s program is fully online and self-paced with virtual coaching sessions. Explain how this program is a good fit for you.

Upload Current Resume *

Click or drag a file to this area to upload.

Please select one that applies to you. *

Male
Female
Other

Please select the racial/ethnic origin(s) that applies to you. *

Before submitting your application, go through the checklist below *

All Transcripts Uploaded (can be unofficial)
Upload 2 Letters of Recommendation
Completed Background Check or Current ND Educator's Professional License Uploaded
Current Resume Uploaded