"Proof of Teaching Experience" - Oklahoma

Proof of Teaching Experience is a legal document that was released by the Oklahoma State Department of Education - a government authority operating within Oklahoma.

Form Details:

  • Released on July 1, 2018;
  • The latest edition currently provided by the Oklahoma State Department of Education;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Oklahoma State Department of Education.

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Download "Proof of Teaching Experience" - Oklahoma

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PROOF OF TEAC HING EXPERIENCE
OUT-OF-STATE OR OKLAHOMA NONPUBLIC SCHOOLS
FOR OFFICIAL USE ONLY
Teacher Certification
2500 N Lincoln Blvd Ste 212
TEACHER NUMBER: _______________
Oklahoma City OK 73105-4599
CREDENTIALS VERIFIED: __________
Type or use a ball-point pen and press hard to make a clear copy.
Teacher's Name: __________________________________________________________________________ Social Security Number: ___________ ________ ___________
Last
First
Middle
Maiden
Oklahoma school where currently employed: _________________________________ _______________________________________________________________________
(If applicable)
County
District
This record is for the Oklahoma State Board of Education to evaluate the experience of the person indicated above. In order to evaluate this experience ALL information must be
completed. This information will be used for determining salary increments, retirement credit, and/or for teacher certification.
NAME AND ADDRESS OF THE OUT-OF-STATE OR NONPUBLIC SCHOOL
ACCREDITATION STATUS:
Yes, the school was accredited for the years listed below.
Name of Accrediting Agency: _________________________________
___________________________________________________________________________
No, the school was NOT accredited for the years listed below.
Name of School
CERTIFICATION STATUS:
___________________________________________________________________________
Yes, the teacher held a valid state teaching credential during the years
Street Address
City
State
Zip Code
listed below.*
State: _______ Validity Dates: ___________ through ___________
_____________________________________________ ( _______ ) __________________
(Two Letter Code)
(MM/DD/YY)
(MM/DD/YY)
Print Name and Title of Certifying Official
Telephone Number
No, the teacher did NOT hold a valid teaching credential during the years
listed below.
USE A SEPARATE LINE FOR EACH SCHOOL YEAR AND COMPLETE ALL COLUMNS
Full Day
Actual
Dates of Service
or Fraction
Number of
Number of
Signature of Certifying Official
From
To
of Day
Days
Days in
School District or Institution
Position/Grade
State
County
Employed
Employed
Full Year
SIGN EACH LINE
(Mo Day Yr)
(Mo Day Yr)
*PLEASE INCLUDE A COPY OF YOUR OUT-OF-STATE TEACHING CERTIFICATE THAT WAS VALID DURING THE ABOVE DATES.
Per Oklahoma State Statute Title 70 § 18-114.14, teaching credit can be granted only for out-of-state teaching experience obtained in an accredited school system while the teacher was
certified to teach or who received special approval to teach by the state's licensing authority. For the purpose of state salary increments and retirement, no teacher shall be granted credit for
more than five years of out-of-state teaching experience as a certified teacher.
July 2018
Send one copy to School Personnel Records and one copy to Teacher Certification.
PROOF OF TEAC HING EXPERIENCE
OUT-OF-STATE OR OKLAHOMA NONPUBLIC SCHOOLS
FOR OFFICIAL USE ONLY
Teacher Certification
2500 N Lincoln Blvd Ste 212
TEACHER NUMBER: _______________
Oklahoma City OK 73105-4599
CREDENTIALS VERIFIED: __________
Type or use a ball-point pen and press hard to make a clear copy.
Teacher's Name: __________________________________________________________________________ Social Security Number: ___________ ________ ___________
Last
First
Middle
Maiden
Oklahoma school where currently employed: _________________________________ _______________________________________________________________________
(If applicable)
County
District
This record is for the Oklahoma State Board of Education to evaluate the experience of the person indicated above. In order to evaluate this experience ALL information must be
completed. This information will be used for determining salary increments, retirement credit, and/or for teacher certification.
NAME AND ADDRESS OF THE OUT-OF-STATE OR NONPUBLIC SCHOOL
ACCREDITATION STATUS:
Yes, the school was accredited for the years listed below.
Name of Accrediting Agency: _________________________________
___________________________________________________________________________
No, the school was NOT accredited for the years listed below.
Name of School
CERTIFICATION STATUS:
___________________________________________________________________________
Yes, the teacher held a valid state teaching credential during the years
Street Address
City
State
Zip Code
listed below.*
State: _______ Validity Dates: ___________ through ___________
_____________________________________________ ( _______ ) __________________
(Two Letter Code)
(MM/DD/YY)
(MM/DD/YY)
Print Name and Title of Certifying Official
Telephone Number
No, the teacher did NOT hold a valid teaching credential during the years
listed below.
USE A SEPARATE LINE FOR EACH SCHOOL YEAR AND COMPLETE ALL COLUMNS
Full Day
Actual
Dates of Service
or Fraction
Number of
Number of
Signature of Certifying Official
From
To
of Day
Days
Days in
School District or Institution
Position/Grade
State
County
Employed
Employed
Full Year
SIGN EACH LINE
(Mo Day Yr)
(Mo Day Yr)
*PLEASE INCLUDE A COPY OF YOUR OUT-OF-STATE TEACHING CERTIFICATE THAT WAS VALID DURING THE ABOVE DATES.
Per Oklahoma State Statute Title 70 § 18-114.14, teaching credit can be granted only for out-of-state teaching experience obtained in an accredited school system while the teacher was
certified to teach or who received special approval to teach by the state's licensing authority. For the purpose of state salary increments and retirement, no teacher shall be granted credit for
more than five years of out-of-state teaching experience as a certified teacher.
July 2018
Send one copy to School Personnel Records and one copy to Teacher Certification.
Instructions for Completion of Oklahoma Proof of Teaching Experience Form
Teacher to complete top portion only:
Teacher’s Name
Social Security Number
Oklahoma school where currently employed (if applicable)
Remainder of the form is to be completed by the district/private school/university staff:
Accreditation Status – If school is accredited, please include the name of the Accrediting Agency
(ie: State Department of Education, North Central Association of Colleges and Schools, Christian
Schools International, etc.).
Certification Status – If teacher was certified during dates of employment, please provide certificate
information here. A copy of the certificate is also required for verification.
Name and Address of the Out-of-State or Nonpublic School – Please complete all information including
the name/title/contact information for the individual certifying the accuracy of employment data.
Service Records – Use a separate line for each school year reported (all columns must be completed).
State – State where school is located
County – County where school is located
District Name or Institution – Employing District/School/University
Dates of Service – Contract Dates/Start-End Dates by school year
Position/Grade – Grade if applicable
Full Day or Fraction of Day Employed – Can be reported as Full-time, 1.0 or 100%; Other examples
would be Half-time, .50, 50% or .25, 25%
Actual Number of Days Employed – Days worked/on contract per school year
Number of Days in Full Year – Days in full contract for position held (example 180 days for teachers/
200 days for principal)
Certifying Official Signature – Request will not be processed if signature is missing
Submit completed form, along with copy of valid certificate for school year(s) being verified, to:
Mail: Oklahoma State Department of Education
Attn: School Personnel Records
2500 N. Lincoln Blvd., Room 210
Oklahoma City, OK 73105
Email: Ashlee Parker – Ashlee.Parker@sde.ok.gov
August 2018
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