Online Teacher Certification Program Application

Personal Information

First Name *

Middle Name

Last Name *

Contact Phone Number *

Address *

City *

State *

Zip Code *

Email *

Date of Birth *

Gender

Ethnicity

Race

Are you a veteran or active military?

Are you eligible to work in the United States? *

Areas of Interest

Additional Areas?

Background Information

Institution 1 *

Degree *

Major *

Institution 2

Degree

Major

Employer

Title

How did you hear about us? *

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Full Legal Name

Date of Submission

Social Security Number: The Alabama Education Agency requires us to have your Social Security Number on file. If you prefer, you may give us this information over the phone or in person.

Legal and criminal background records check:

The State of Alabama, as well as school districts, will conduct a background check before you are certified and allowed to teach. Any negative history, as they define it, may jeopardize your ability to teach and / or be employed.

Alabama Teachers values your privacy and security. Your application is secured using extended validation 256-bit strong SSL encryption. See our Privacy Policy for more information.

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Teacher CertificationOnline Application

Personal Information

Background Information

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Legal and criminal background records check:

Teacher Certification
Online Application