Form 3
Clinical Teacher of Record Permit
Summary of Requirements
Form 3 allows individuals to teach in an area of critical need and shortage while finishing their state-approved teacher preparation program as part of a West Virginia Board of Education-approved agreement between an institution of higher education and a WV public school district. The permit is valid for 1 year.
Full Requirements
Candidate Requirements
To apply, you must:
- Be a U.S. citizen or hold eligible documentation (see Policy 5202, Minimum Requirements for the Licensure of Professional/Paraprofessional Personnel and Advanced Salary Classifications)
- Be at least 18 years old
- Be of good character
- Be physically, mentally, and emotionally qualified
General Requirements
You must also the following qualifications:
- Have a minimum overall cumulative GPA of 3.0 in the area of specialization
- Meet coursework/training requirements of teacher in residency agreement between the IHE and County
- Pass all for basic skills and content proficiency exams required by the West Virginia Board of Education
- Applicants must pass the Principals of Learning and Teaching exam or educational teacher performance assessment as required by the college or university upon program completion to apply for a professional certificate.
- Have offer of employment as a teacher-in residence, based upon qualifying employment
- Have recommendation from Superintendent in the county in which the applicant will serve as the Teacher-In Residence AND the Designated College Official
Application Instructions
Form 3 must be completed online. If this is your first time using the Certification Portal, you will need to register. Follow the instructions for first-time applicants.
- Log in to the portal and select the create new application button.
- Fill in the required information. When completed, submit the application.
- Following county approval, you will receive an email for payment. Log back in to the portal to pay the application fee.
- Following a review and approval of your application by the Office of Certification, you will receive an email with instructions to download your certificate. You may follow the status of your application on the Certification Portal or by checking the Application Status.
- If you are a first-time applicant for licensure (have never held a license/certificate issued by the Department), you will receive an email with a service code to make your background check appointment once the application is received by our office. For more information on background check requirements, download the Background Check Guidance (PDF).
For more detailed instructions, see our Form 3 How-To video
User Guides
Application Fee
$35
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