The Office of Professional Preparation is happy to provide you with the forms necessary to make application for
certification in West Virginia. Below, you should find the information necessary to request licensure in our state.
Select the appropriate form and print it. A valid email address is required for all applications. Upon completion, mail the application, appropriate fee, and all other
pertinent information to:
| Form 7
| A Form 7 must accompany ALL initial applications. In addition to granting the West Virginia Department of Education permission to review records received from the WV State Police and FBI, the Form 7 may be used to request that an applicant's WV State Police fingerprint results be forwarded to a WV County School System. Click here for fingerprinting instructions |
Form 20-T
Instructions |
Initial Teacher Certification
(in-state applicants only) |
Use this form when applying for certification upon completion of a teacher preparation program from a regionally
accredited institution of higher education in West Virginia or when applying based on reciprocity (possession of
a valid out of state license). |
$25.00 Processing Fee*
First Time Applicant? Click Here!
Need Transcripts? Click Here! |
| Form 20-A |
Out of State Applicants
Initial Teacher Certification |
Use this form when applying for certification upon completion of a teacher preparation program from a regionally
accredited institution of higher education in a state other than West Virginia. |
$25.00 Processing Fee*
First Time Applicant? Click Here!
Reciprocity? Click Here!
Need Transcripts? Click Here! |
| Form 20-S |
Initial Student Support Certification |
Use this form when applying for certification as a Counselor, School Nurse, Speech-Language
Pathologist, School Psychologist, or Athletic Trainer. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 19 |
Professional Administrative Certification |
Use this form when applying for initial certification or renewing a certificate endorsed
as Principal, Superintendent, or Supervisor of Instruction. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 4
Instructions |
Renewal of Professional Teaching/Student Support Certificate |
Use this form when applying for the renewal or conversion of your Professional Teaching and/or
Student Support Certificate. |
$25.00 Processing Fee* |
| Form 4B
|
Out of State Character Recommendation |
Use the Form 4B to obtain a character recommendation from a person other than a WV County Superintendent. If
you are employed in a educational setting, please obtain the recommendation of your immediate supervisor. However,
if you are not employed in an educational setting, you can obtain a recommendation from an employer or community leader. |
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Form 8
Instructions |
Additional Endorsements |
Use this form to apply for an additional endorsement gained by completion of an approved program or
to add an endorsement listed on a certificate issued by another state. Use to request a Duplicate Certificate. |
$25.00 Processing Fee* |
| Form 9 |
Duplicate Certificate and Name-Change Request |
Use this form to request a duplicate certificate with seal or to update name/address and request a duplicate certificate with seal. |
$25.00 Processing Fee* |
| Form 25 |
Alternative Certification |
Use this form to apply for an Alternative Teaching Certificate upon employment in WV county school system
and enrollment in a WVBE-approved alternative route to teacher certification. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 25T |
Alternative Certification "Transition to Teaching" |
Upon employment in a WV county school system, use this form to apply for an Alternative Teaching Certificate
and to verify commitment as a selected Transition to Teaching participant. The county will forward to WVDE. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 26 |
Alternative Route to Content Endorsements for Special Educators |
Use this form to apply for a content endorsement OR to request enrollment in the WVDE-sponsored
alternative route to content endorsements for special educators. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 1
Instructions |
First-Class/Full-Time Permits & Out-of-Field Authorizations |
Use this form to apply for a Permit or Authorization AND to verify commitment to enroll or verification
of enrollment in an approved program. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 2
Instructions |
Substitute Permits. Application requires employment or offer of employment in a WV County school system. |
Use this form to apply for Substitute Permit after completing training through a RESA and being offered employment by a West Virginia County school system. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 3 |
Teacher in Residence
| Use this form to apply for a Teacher in Residence Permit. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 23 |
Out of State/Non-WV Instititution Field Experience Request |
Use this form to request a field experience/clinical experience in a WV school if you are attending a non-WV institution. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 24 |
Student Teacher Permit |
Use this form to apply for a permit to complete a student teacher experience. |
$25.00 Processing Fee*
Click here for fingerprinting instructions |
Form 38
Instructions |
Temporary Authorizations |
Use this form when applying for a Temporary Authorization endorsed in Audiologist for Screening and Evaluations,
Licensed Psychologist for Test Administrations & Interpretation, Work-Based Learning
Coordinator, Career Major Introductory Courses, ROTC, Alternative
Education, Chief School Business Official, School Nutrition
Director, Jobs for West Virginia Graduates, Cultural Enrichment,
or Reading Authorization. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 39
Instructions |
Coach, Athletic Trainer, Limited Football Trainers |
Use this form to apply for or renew an Authorization endorsed as a coach, athletic trainer, or limited football trainer. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 42 |
Permanent Authorizations |
Use this form to apply for Permanent Authorization for Middle Childhood or to extend the grade levels of a current endorsement area, as permitted by WVBE Policy 5202. |
$25.00 Processing Fee* |
Form 12
Instructions |
Advanced Degree and/or Advanced Salary
and/or
National Board For Professional Teaching Standards (NBPTS) Salary Supplement |
Use this form when applying for recognition of hours completed towards an advanced degree or salary or when
requesting recognition of certification through the
National Board for Professional Teaching Standards. |
$25.00 Processing Fee*
INFORMATION SHEET IS REQUIRED WITH FORM 12. |
Form 32
Instructions |
Moving Expense Reimbursement |
Use this form when applying for reimbursement of fees associated with a move after employment has ceased
in a West Virginia County due to reduction in force and you have been hired in another West Virginia County. |
No Processing Fee* is required.
INFORMATION SHEET IS REQUIRED WITH FORM 32. |
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Form
Form 33
Instructions |
ASHA, NBCC, WVBEC, NASP, or NBCSN Enrollment & Completion Fee Reimbursement
|
Use this form when applying for reimbursement of fees associated with completing ASHA, NBCC, WVBEC, NASP, or NBCSN certification. |
Applications received in the Office of Professional Preparation by the annual deadline of September 15 will be
processed after September 15 of that year. Applications received between September 16 and
December 31 will be denied. Applications may be submitted between January 1 and September 15 of each year.
The fee reimbursement is not awarded on a first-come, first-served, basis. Selection is
made based upon official ranking criteria. Please refer to information in the application concerning these ranking
criteria. No applications will be processed until after September 15 of the year.
No Processing Fee* is required.
INFORMATION SHEET IS REQUIRED WITH FORM 33. |
Form 36
Instructions |
Tuition Reimbursement |
Use this form when applying for reimbursement of fees associated with coursework taken for the renewal of a
certificate or for course taken towards the completion of a program in a verified shortage area. |
No Processing Fee* is required.
INFORMATION SHEET IS REQUIRED WITH FORM 36.
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Form 37
Instructions |
National Board Fee Reimbursement |
Use this form when applying for reimbursement of fees associated with completing
National Board for Professional Teaching Standards certification. |
No Processing Fee* is required.
INFORMATION SHEET IS REQUIRED WITH FORM 37. |
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Form 43
Instructions |
Salary Supplement for ASHA, NBCC, WVBEC, NASP, or NBCSN Board Certification
|
Use this form when applying for the salary supplement associated with certification through ASHA, NBCC, WVBEC, NASP, or NBCSN. |
Applications received in the Office of Professional Preparation by the annual deadline
of September 15 will be processed after September 15 of that year. Applications received between
September 16 and December 31 will be denied. Applications may be submitted between January 1 and September 15
of each year.
The salary supplement is not awarded on a first-come, first-served, basis. Selection is made based upon official
ranking criteria. Please refer to information in the application concerning these ranking criteria. No applications
will be processed until after September 15 of the year.
$25.00 Processing Fee*
INFORMATION SHEET IS REQUIRED WITH FORM 43. |
Form 44
Instructions |
ASHA, NBCC, WVBEC, NASP, or NBCSN Certification Renewal for Salary Supplement |
Use this form when applying for renewal of a previously awarded Salary Supplement for ASHA, NBCC, WVBEC, NASP, or NBCSN.
A copy of the board certificate reflecting the current board certification expiration date MUST accompany this application. |
$25.00 Processing Fee*
INFORMATION SHEET IS REQUIRED WITH FORM 44. |
Form V7
Instructions |
Career/Technical Certificate |
Use this form when applying for an original career/technical certificate, renewing an existing certificate,
requesting permanent career technical certificate, or adding an endorsement to an existing career technical certificate. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form V9
Instructions |
Full-Time or Substitute Permit for Career/Technical |
Use this form when applying for anoriginal or the renewal of an original Full-Time or Substitute Career/Technical Permit. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form V10 |
Verification of Work Experience |
Use this form to verify any work experience required for career/technical certification. |
No fee required. |
Form V14
Instructions |
Advanced Salary Classifications for Career/Technical Certificates |
Use this form to request recognition of coursework completed towards an advanced salary classification. |
$25.00 Processing Fee* |
Form V15
Instructions |
Adult License for Adult Basic Education |
Use this form to request an Adult License for Adult Basic Education |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form V16 |
Verification of Competency for Adult Special Interest |
Use this form to verify competency in a specific area of interest requested on the Adult Special Interest certificate. |
No fee required. |
Form V17
Instructions |
Adult Special Interest Adult Occupational Area |
Use this form when applying for a permanent permit to work with adult learners in occupational and special interest areas. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form V18 |
Adult Permit for EMT and Fire Service Training |
Use this form to apply for an original or renew an Adult Permit for EMT or Fire Service Training. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 40
Instructions |
Permanent Paraprofessional |
Use this form when applying for certification as a Paraprofessional working in the classroom |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 60
Instructions |
Permanent Paraprofessional- Educational Interpreter |
Use this form when applying for permanent, initial, or renewal certification as a Paraprofessional- Educational Interpreter |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
| Form 50 |
Community Program Authorization |
Use this form when applying for the permanent, the initial, or to renew certification to teach in a partnership
between a local school system and a community PK program. This credential is required when the teacher does not
hold a valid WV Professional Teaching Certificate endorsed for PK. |
$25.00 Processing Fee*
First Time Applicant? Click Here! |
Form 30
Instructions |
Advanced Credentials |
Use this form when applying for an Advanced Credential endorsed for Technology Integration Specialist,
Mentor Teacher, Master Mentor Teacher, and/or Advanced Placement Teacher. Advanced Credentials are awarded
to educators upon completion of approved professional development, coursework, and/or testing that exceeds
the requirements for a professional certificate. |
$25.00 Processing Fee* |
Form 35
Instructions |
Advanced Credentials |
Use this form when applying for an Advanced Credential endorsed for Educator 21, Personal Finance Specialist,
Teacher Leadership for Building School and Community Culture, Teacher Leadership for Student Learning, and/or
Teacher Leadership for Professional Learning. Advanced Credentials are awarded to educators upon completion
of approved professional development, coursework, and/or testing that exceeds the requirements for a
professional certificate. |
$25.00 Processing Fee* |
| County Change |
Request for County Status Change |
Use this form to request a copy of a certificate for an educator who transfered to your county. |
No fee required |
* Processing Fees are non-refundable.