Form E "Interim Teacher's Certificate Renewal or Permanent Certificate" - New Brunswick, Canada

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Download Form E "Interim Teacher's Certificate Renewal or Permanent Certificate" - New Brunswick, Canada

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FORM E
Interim Teacher’s Certificate RENEWAL or
PERMANENT CERTIFICATE
Request: (Check appropriate box)
 Renewal (see section A)
 Permanent Certificate (see section B)
New Brunswick Certification No.: (7 digits) __________________________________
Name: ________________________________________________________________________________________
(Surname)
(Maiden)
(First Name)
(Middle Name)
SIN: ________________________________________
Date of Birth: ________________________________
(YYYY)
(MM)
(DD)
Mailing Address: ______________________________
Telephone Numbers:
_____________________________________________
Home: ______________________________________
_____________________________________________
Work: ______________________________________
_____________________________________________
Cell:
______________________________________
E-mail: _______________________________________
In addition to this form, the applicant must submit the following documents to the Office of Teacher Certification:
A. RENEWAL of an Interim Certificate:
 A $50.00, renewal fee in the form of a money order or cheque payable to the Minister of Finance, Province
of New Brunswick.
B. PERMANENT CERTIFICATE:
Verification of two (2) years teaching experience in the New Brunswick public school system (letter from the
School District’s Human Resources Office).
OR
 A teaching degree obtained in Canada outside New Brunswick.
Please ensure that all possible supporting documents are included when submitting your
application and allow 4 weeks to 25 work days processing after all documents have been received.
____________________________________
____________________________________
(Signature)
(Date)
Office of Teacher Certification - Department of Education and Early Childhood Development
P.O. Box 6000 Fredericton, NB E3B 5H1, Tel.: (506) 453-2785, Fax: (506) 453-5349
teachercertification@gnb.ca
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Reset
FORM E
Interim Teacher’s Certificate RENEWAL or
PERMANENT CERTIFICATE
Request: (Check appropriate box)
 Renewal (see section A)
 Permanent Certificate (see section B)
New Brunswick Certification No.: (7 digits) __________________________________
Name: ________________________________________________________________________________________
(Surname)
(Maiden)
(First Name)
(Middle Name)
SIN: ________________________________________
Date of Birth: ________________________________
(YYYY)
(MM)
(DD)
Mailing Address: ______________________________
Telephone Numbers:
_____________________________________________
Home: ______________________________________
_____________________________________________
Work: ______________________________________
_____________________________________________
Cell:
______________________________________
E-mail: _______________________________________
In addition to this form, the applicant must submit the following documents to the Office of Teacher Certification:
A. RENEWAL of an Interim Certificate:
 A $50.00, renewal fee in the form of a money order or cheque payable to the Minister of Finance, Province
of New Brunswick.
B. PERMANENT CERTIFICATE:
Verification of two (2) years teaching experience in the New Brunswick public school system (letter from the
School District’s Human Resources Office).
OR
 A teaching degree obtained in Canada outside New Brunswick.
Please ensure that all possible supporting documents are included when submitting your
application and allow 4 weeks to 25 work days processing after all documents have been received.
____________________________________
____________________________________
(Signature)
(Date)
Office of Teacher Certification - Department of Education and Early Childhood Development
P.O. Box 6000 Fredericton, NB E3B 5H1, Tel.: (506) 453-2785, Fax: (506) 453-5349
teachercertification@gnb.ca
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