"Temporary Initial Educator Certificate Application Form" - Rhode Island

Temporary Initial Educator Certificate Application Form is a legal document that was released by the Rhode Island Department of Education - a government authority operating within Rhode Island.

Form Details:

  • Released on May 1, 2019;
  • The latest edition currently provided by the Rhode Island Department of Education;
  • Ready to use and print;
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  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Rhode Island Department of Education.

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Rev 05/2019
State of Rhode Island and Providence Plantations
Department of Elementary and Secondary Education
Educator Certification
Temporary Initial Preliminary Certificate Application Form
REQUIRED DOCUMENTATION CHECKLIST
PLEASE REFERENCE CHECKLIST BEFORE SUBMITTING YOUR APPLICATION
You can now apply and pay online at
https://ridemap.ride.ri.gov!
We strongly recommend applying online for an easier user experience.
All required documentation must be submitted for your certification to be issued. Applicants do not need to resubmit
transcripts already on file with the Rhode Island Department of Education when applying for a new certificate area.
Please only submit transcripts for new coursework and/ or degrees completed.
Application:
Completed, signed application
Coursework:
Official transcript with conferral of degree from an accredited institution (No photocopies, please.)
Evidence verifying completion of state approved program
Additional Credentials:
Copy of your valid out of state certificate(s), if applicable
Independent Certificate, if applying for a Dependent Certificate. If you are applying for a certificate listed
with an asterisk on page 4, then you must hold the required Independent Certificate Area.
Fees:
General Treasurer State of Rhode Island
Check or money order made payable to
Please mail only pages 5-7 of the application, fee and all required documents to:
RHODE ISLAND DEPARTMENT OF EDUCATION
OFFICE OF EDUCATOR EXCELLENCE & CERTIFICATION SERVICES
255 WESTMINSTER STREET, 4TH FLOOR
PROVIDENCE, RI 02903-3400
Page 1 of 7
Rev 05/2019
State of Rhode Island and Providence Plantations
Department of Elementary and Secondary Education
Educator Certification
Temporary Initial Preliminary Certificate Application Form
REQUIRED DOCUMENTATION CHECKLIST
PLEASE REFERENCE CHECKLIST BEFORE SUBMITTING YOUR APPLICATION
You can now apply and pay online at
https://ridemap.ride.ri.gov!
We strongly recommend applying online for an easier user experience.
All required documentation must be submitted for your certification to be issued. Applicants do not need to resubmit
transcripts already on file with the Rhode Island Department of Education when applying for a new certificate area.
Please only submit transcripts for new coursework and/ or degrees completed.
Application:
Completed, signed application
Coursework:
Official transcript with conferral of degree from an accredited institution (No photocopies, please.)
Evidence verifying completion of state approved program
Additional Credentials:
Copy of your valid out of state certificate(s), if applicable
Independent Certificate, if applying for a Dependent Certificate. If you are applying for a certificate listed
with an asterisk on page 4, then you must hold the required Independent Certificate Area.
Fees:
General Treasurer State of Rhode Island
Check or money order made payable to
Please mail only pages 5-7 of the application, fee and all required documents to:
RHODE ISLAND DEPARTMENT OF EDUCATION
OFFICE OF EDUCATOR EXCELLENCE & CERTIFICATION SERVICES
255 WESTMINSTER STREET, 4TH FLOOR
PROVIDENCE, RI 02903-3400
Page 1 of 7
Rev 05/2019
State of Rhode Island and Providence Plantations
Department of Elementary and Secondary Education
Educator Certification
Temporary Initial Preliminary Certificate Application Form
Every student must have highly effective teachers.
Ensure Educator Excellence:
Every school must have highly effective leaders and support professionals.
We must support educators throughout their careers.
Educator Certification in Rhode Island
Educator certification is the process through which Rhode Island educators demonstrate that they are prepared to enter
the profession as new educators and then continue to demonstrate currency and competency within their specific
area(s) of certification. Educator certification is required for all educators in all Rhode Island public schools, state
approved special education programs and state funded pre-kindergarten programs.
1. Use of this application:
This application should be used ONLY by individuals applying for the Temporary Initial Educator Certificate.
The Temporary Initial Educator Certificate is:
o Awarded to an individual who has completed an approved preparation program in another state or is
fully certified in another state and meets all issuance requirements for an Initial Educator Certificate(s)
except Rhode Island certification test requirements for the certificate(s).
o Valid for one year only and is not renewable. Upon meeting all Rhode Island certification test
requirements, and the submission of a completed certification application including evidence of
required passing scores and necessary fees, the individual is eligible to apply for a three-year Initial
Educator Certificate.
2. How to complete this application:
Provide the required information in Sections A, B, and C.
Calculate and provide the appropriate fees for certification areas identified in Section B. Note: Payment must be
included with the application and all fees are calculated by certification area and per processing request and are
non-refundable.
Mail the completed application, fees, and documentation to the address on page 7 of this application.
3. When to apply for certification:
Individuals may request new certificates at any time.
Application processing and evaluation varies during the year based on demand and averages 12-16 weeks.
4. For more information consult the Office of Educator Excellence and Certification Services website at
http://www.ride.ri.gov/Certification
or e-mail eqac@ride.ri.gov.
Certification Fees
All certification application fees are for processing requests and are non-refundable. Use the fee chart below to
determine the appropriate fee for the request you submit. We are not able to accept cash. Make check payable to the
General Treasurer – State of Rhode Island
Type of Request
Fee
Temporary Initial Educator Certificate: Issuance
$100.00 for each certification area
Page 2 of 7
Rev 05/2019
Certification Codes:
Teacher Certificate Areas
11101
Early Childhood Education Teacher, Grades PK-2
11191
Early Childhood Bilingual and Dual Language Education Teacher, Grades PK-2*
11181
Early Childhood Special Education Teacher, Birth through Grade 2*
11192
Early Childhood English to Speakers of Other Languages Teacher, Grades PK-2*
11201
Elementary Education Teacher, Grades 1-6
11291
Elementary Bilingual and Dual Language Education Teacher, Grades 1-6*
11281
Elementary Special Education Teacher, Grades 1-6*
11292
Elementary English as a Second Language Education Teacher, Grades 1-6*
11301
Middle Grades English Teacher, Grades 5-8
11304
Middle Grades Social Studies Teacher, Grades 5-8
11331
Middle Grades English Teacher Elementary Extension, Grades 5-8*
11334
Middle Grades Social Studies Teacher Elementary Extension, Grades 5-8*
11341
Middle Grades English Teacher Secondary Extension, Grades 5-8*
11344
Middle Grades Social Studies Teacher Secondary Extension, Grades 5-8*
11302
Middle Grades Mathematics Teacher, Grades 5-8
11381
Middle Grades Special Education Teacher, Grades 5-8*
11332
Middle Grades Mathematics Teacher Elementary Extension, Grades 5-8*
11391
Middle Grades Bilingual and Dual Language Education Teacher, Grades 5-8*
11342
Middle Grades Mathematics Teacher Secondary Extension, Grades 5-8*
11392
Middle Grades English to Speakers of Other Languages Teacher, Grades 5-8*
11303
Middle Grades Science Teacher, Grades 5-8
11333
Middle Grades Science Teacher Elementary Extension, Grades 5-8*
11343
Middle Grades Science Teacher Secondary Extension, Grades 5-8*
11401
Secondary Grades Agriculture Teacher, Grades 7-12
11408
Secondary Grades Mathematics Teacher, Grades 7-12
11402
Secondary Grades Biology Teacher, Grades 7-12
11409
Secondary Grades Physics Teacher, Grades 7-12
11403
Secondary Grades Business Education Teacher, Grades 7-12
11410
Secondary Grades Social Studies Teacher, Grades 7-12
11404
Secondary Grades Career and Technical Education Teacher, Grades 7-12
11481
Secondary Special Education Teacher, Grades 7-12*
11405
Secondary Grades Chemistry Teacher, Grades 712
11491
Secondary Grades Bilingual and Dual Language Education Teacher, Grades 7-12*
11406
Secondary Grades English Teacher, Grades 7-12
11492
Secondary Grades English to Speakers of Other Languages Teacher, Grades 7-12*
11407
Secondary Grades General Science Teacher, Grades 7-12
11501
All Grades Art Teacher, Grades PK-12
11510
All Grades Theatre Teacher, Grades PK-12
11502
All Grades Dance Teacher, Grades PK-12
11512
All Grades World Language Teacher, Grades PK-12
11503
All Grades Family and Consumer Science Teacher, Grades PK-12
11582
All Grades Special Education – Deaf and Hard of Hearing, Grades PK-12*
11504
All Grades Health Teacher, Grades PK-12
11583
All Grades Special Education – Visually Impaired, Grades PK-12*
11505
All Grades Library Media Teacher, Grades PK-12
11584
All Grades Special Education – Severe Intellectual Disability, Grades PK-12*
11506
All Grades Music Teacher, Grades PK-12
11585
All Grades Adapted Physical Education Teacher, Grades PK-12*
11507
All Grades Physical Education Teacher, Grades PK-12
11591
All Grades Bilingual and Dual Language Education Teacher, Grades PK-12*
11508
All Grades School Nurse Teacher, Grades PK-12
11592
All Grades English to Speakers of Other Languages Teacher, Grades PK-12*
11509
All Grades Technology Education Teacher, Grades PK-12
Administrator Certificate Areas
12001
Building Level Administrator, Grades PK-12
12016
Superintendent of Schools
12011
District Level Administrator – Curriculum, Instruction, and Assessment*
12017
District Level Administrator Special Education
12015
School Business Administrator
Support Professional Certificate Areas
13001
School Counselor
13011
Reading Specialist/Consultant*
13002
School Psychologist
13012
Mathematics Specialist/Consultant*
13003
School Social Worker
13013
English as a Second Language Specialist/Consultant*
13004
Speech and Language Pathologist
13021
Instructional Leader*
13005
Registered School Nurse
*
Any Certificate Area with an asterisk is a Dependent Certificate. To obtain this certificate, the applicant must hold the required Independent Certificate Area. The list of
Independent and their Dependent Certificates can be viewed at
http://www.ride.ri.gov/Certification
Page 3 of 7
Rev 05/2019
Page 4 of 7
Rev 05/2019
You can now apply and pay
online at
https://ridemap.ride.ri.gov
R H O D E I S L A N D E D U C A T O R C E R T I F I C A T I O N
TEMPORARY INITIAL EDUCATOR CERTIFICATE APPLICATION FORM
Section A: Applicant Information (Please print clearly.)
ID# (First time applicants please leave blank)
Social Security Number: (REQUIRED)
--
--
Last Name: (REQUIRED)
Suffix:
Previous Last Name (and Suffix)– If applicable:
First name: (REQUIRED)
Middle Name or Initial:
Date of Birth: (MM/DD/YY) (REQUIRED)
/
/
Home Address: (REQUIRED)
Phone: (REQUIRED)
_______________________________________________
(
)
-
Address Line 1
Primary
(
)
-
_______________________________________________
Cellular Phone
Address Line 2
Email: (REQUIRED)
_______________________________________________
__________________@ ___________________________
City/Town
Primary Email
_______________
_____________________
__________________@ ___________________________
State
Zip
Additional Email
Ethnicity*:
Race*:
Gender*:
Hispanic/Latino
American Indian/Alaska Native
White
Female
Not Hispanic/Latino
Asian
I do not wish to respond
Male
I do not wish to respond
Black/African American
I do not wish to respond
Native Hawaiian/Other Pacific Islander
*RIDE seeks to understand and further diversify our teacher workforce. RIDE urges applicants to provide information that will help
us better understand and report on workforce diversity.
Page 5 of 7