SPED Full Licensure Program Application

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Application

Here is a link to printable instructions you can use to assemble all your info and files to fill out this form at one sitting

Printable Instructions

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Date of Birth *

Upload 2 Essays (combine into 1 file) *

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

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 4 files.

Upload 3 Letters of Recommendation (combine into 1 file). *

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

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

Click or drag a file to this area to upload.

Upload Current Resume *

Click or drag a file to this area to upload.

Before submitting your application, go through the checklist below *

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

Social Security Number

This section is entirely optional to complete unless you are using Job Service ND to fund your training. Certification Central's training program partners with ND Job Services as an Approved Training Provider, and data are collected to measure if this training program leads to gainful employment. This is NOT saved or stored anywhere. The information goes directly to Job Service ND and is completely confidential and will remain so.

Please select one that applies to you. This is optional demographic data for accreditation purposes only.

Female
Male
Other

Please select the racial/ethnic origin(s) that applies to you. This is optional demographic data for accreditation purposes only.

American Indian/ Alaskan Native
Asian/Pacific Islander
Black, Not Hispanic Origin
Hispanic
White, Not Hispanic Origin
Other

Application

Here is a link to printable instructions you can use to assemble all your info and files to fill out this form at one sitting

Thank you for applying for enrollment in our SPED Licensure Program!Your application has been received and will be reviewed within 1 week!

Thank you for applying for enrollment in our SPED Licensure Program!
Your application has been received and will be reviewed within 1 week!