Applications for Certification
in West Virginia

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. Upon completion, mail the application, appropriate fee, and all other pertinent information to:

Mail Forms to:
West Virginia Department of Education
Office of Professional Preparation
Building 6, Room 252
1900 Kanawha Boulevard, East
Charleston, WV 25305

Important Information Concerning Check Payments
Beginning March 2009, when you provide a check as a payment, you authorize us either to use information from your check to make a one-time electronic fund transfer from your account or to process the payment as an image transaction. For inquiries, please call the Check Hotline at 1-866-243-9010.

When we use information from your check to make an electronic fund transfer, funds may be withdrawn from your account as soon as the same day you make your payment and you will not receive your check back from your financial institution.

Adobe Acrobat Update

It is recommended that you update your version of Adobe Acrobat to the latest version for free. Older versions of Adobe Acrobat may not display the form correctly or report an error. Please upgrade your Adobe Acrobat reader.

Applications for Professional Certification
Form 20-T Initial Teacher Certification Use this form when applying for certification upon completion of teacher preparation program from a regionally accredited institution of higher education.

$25.00 Processing Fee

First Time Applicant? 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 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.
Questions about renewal requirements?

$25.00 Processing Fee
Form 4B Out of State Character Recomendation 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.  
Form 8

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
Applications for Alternative Certification
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!
Applications for Permits & Authorizations
Form 1

 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

 Substitute Permits 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 38 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 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
Applications for Advanced Salary, Salary Supplements, and
Tuition & Fee Reimbursements
Form 12

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 35 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.

It is required a W-9 tax form available through the IRS accompany this form.

No processing fee is required.

INFORMATION SHEET IS REQUIRED WITH FORM 35.
Form 36 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.

It is required a W-9 tax form available through the IRS accompany this form.

No processing fee is required.

INFORMATION SHEET IS REQUIRED WITH FORM 36.
Form 37 National Board Fee Reimbursement Use this form when applying for reimbursement of fees associated with completing National Board for Professional Teaching Standards certification.

It is required a W-9 tax form available through the IRS accompany this form.

No processing fee is required.

INFORMATION SHEET IS REQUIRED WITH FORM 37.
Form 33 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.

It is required a W-9 tax form available through the IRS accompany this form.

No processing fee is required.

INFORMATION SHEET IS REQUIRED WITH FORM 33.
Form 43 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 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.
Applications for Career/Technical Certification & Adult Permits
Form V7 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 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 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 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 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!
Applications for Paraprofessional Certification
Form 40 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 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!
Applications for Community Program Authorization
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!
Applications for Advance Credential
Form 30 Advanced Credentials Use this form when applying for an Advanced Credential. 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