INSTRUCTIONS FOR COMPLETING MULTIPLE CAREER AND TECHNICAL ENDORSEMENT REQUEST

EMPLOYER AND DATES

A complete chronological list of all employment, not just those that you feel apply to this application. Exact dates of employment or to the closest month. Please explain any overlapping dates.

Self-employment must have supporting affidavits. Customer job lists with quotes and billings, tax numbers, and IRS tax filings are considered minimum.

HRS/WK

If full time, 40 hrs per week. If less than full-time, estimate average hours worked per week.

JOB TITLE

Identify the formal job title for each position held. If more than one job title with an employer, relate job titles to hrs/wk column for each.

JOB DUTIES

Supply a brief list of major duties for each job title.

CERTIFICATION AREA

Fill in the blocked area with the endorsement code(s) being requested and those currently held, if any. Identify the amount of weeks (@ 40 hours) in each job title you are allocating to each vocational endorsement being requested and those you currently hold. If more columns are needed, please extend this format.

NOTES:

The resume must be notarized and included with your application. If self-employed, then include required documentation.

The application for teacher certification, form EF-C-300, must be completed, signed, and returned with your application.

If licenses or certificates are required for your occupation, copies of a current and valid one must be included.

Submit evidence of high school completion and copies of all postsecondary education or training transcripts.

Supporting affidavits for all employment may be requested. Including them with the application may speed processing.

All vocational endorsement applicants must satisfactorily complete the PPST or MNTE exams prior to certification. If taken, submit copies.

INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE APPLICANT.

All applicants must meet the minimum learning and minimum applied experience requirement (i.e., Initial Requirements) for each endorsement area sought.

SAMPLE RESUME FORMAT FOR MULTIPLE CAREER AND TECHNICAL ENDORSEMENT REQUEST

(see instructions and notes on reverse side)

NAME________________________________________

SOCIAL SECURITY NUMBER___________________________________

Include Current Endorsement

EMPLOYER AND DATES	HRS/ WK.	JOB TITLE	JOB DUTIES	Cert. A wks@40	Cert. B wks@40	Cert. C wks@40

Certification Information