VERIFICATION OF ELIGIBILITY AS A SUBSTITUTE …

1 APPLICATION FOR VERIFICATION OF ELIGIBILITY AS A SUBSTITUTE TEACHERFOR HOLDERS OF A valid PEI teacher SCERTIFICATESend your completed application form to:Office of the RegistrarCertification and Standards SectionDepartment of Education, Early Learning and Culture Holman Building, Suite 101250 Water StreetSummerside, Prince Edward Island C1N 1B6To contact the Office of the Registrar: Telephone: 902 438-4130E-mail: from August 20, 2016 Form # SA-LIC EngGUIDELINES FOR APPLYING FOR A VERIFICATION TO SUBSTITUTE TEACHWHO IS ELIGIBLE TO WORK AS A CERTIFIED SUBSTITUTE teacher ? holder of a valid teacher s certificate may accept day-to-day SUBSTITUTE assignments as well as contract assignments (over 20 consecutive days) in Island public K to 12 schools. teachers on a part-time teaching assignment may work as a SUBSTITUTE teacher accepting assignments throughout the day or on the days when they are not otherwise employed under a teachers on an approved leave such as a maternity leave as well as certified teachers on retirement from a PEI school board may be authorized to SUBSTITUTE for a teacher at the certified rate in all public school boards.

2 [Retired teachers are encouraged to check with the PEI teacher s Federation to determine the number of days in which they may SUBSTITUTE teach without impacting their pension.] are eligible to work as a certified SUBSTITUTE teacher from the effective date as noted on your PEI teacher s certificate . However, you must apply to the employing education authority initially and for each subsequent school year to insure that you are set up on the SUBSTITUTE teacher call centre systems used by the education authority. who hold a valid license from outside of Prince Edward Island, or who are eligible to hold a PEI teacher 's license MUST apply for a PEI teacher s license in order to be eligible to work as a certified SUBSTITUTE teacher in Island public schools. 5. The suspension or revocation by the Minister or the voluntary surrender or retirement of a teacher s license which the Minister believes resulted from concerns about the teacher and the safety of children or other persons will automatically result in the cancellation of an ELIGIBILITY to SUBSTITUTE do I Contact the Employer(s)?

3 While you are waiting to receive your VERIFICATION of ELIGIBILITY as a SUBSTITUTE teacher , you should contact one or both of Island education authorities where you intend to work in order to start the employment process with the employer. The education authority will require additional documentation such as the original of a Criminal Record Check and Vulnerable Sector Screen, your Bank Direct Deposit information etc. Contact Information for the Public Schools Branch 2-234 Shakespeare DriveStratford, PE C1B 2V8(Mailing Address: PO Box 8600, Charlottetown, PE C1A 8V7)Telephone: 1-800-280-7965 toll free Telephone: 1-902-368-6990 phoneE-mail: Information for the Commission scolaire de langue fran aise1596, route 124 Abram-Village (PEI)C0B 2E0 Telephone : (902) 854-2975 Fax : (902) 854-2981E-mail: do I Check the Status of myApplication?

4 Please e-mail the Registrar at In the subject line of your e-mail write: Status Update RequestedUnder Section 67. (2) of the Education Act, an educational authority shall not employ a person as a SUBSTITUTE teacher unless the person holds a teacher s license or a temporary FOR VERIFICATION OF ELIGIBILITY AS A SUBSTITUTE teacher FOR HOLDERS OF A valid PEI teacher S LICENSEDOCUMENTS TO SUBMIT WITH your COMPLETED APPLICATION Proof of Identification such as a copy of your birth certificate or Proof of ELIGIBILITY to accept employment in Canada such as a copy of yoursocial insurance A copy of your teacher s CertificateIDENTIFICATION AND CONTACT INFORMATION FIRST NAMEMIDDLE NAMELAST NAME**OTHER NAME (if you were educated or licensed in a name different from the oneshown above):CURRENT MAILING ADDRESS: TELEPHONE NUMBER: E-MAIL ADDRESS:DATE OF BIRTH: SOCIAL INSURANCE NUMBER:MONTH: DAY: YEAR.

5 PEI TEACHING CREDENTIALI ndicate kind of certificateyou & TECHNICALN umber of teacher s certificate (if known): Last date of Isssue (if known): EMPLOYER - Indicate the education authority or authorities where you authorize the Registrar to forward your VERIFICATION of ELIGIBILITY as a SUBSTITUTE teacher Public Schools Branch Commission scolaire de langue fran aiseI authorize the Registrar of the Department of Education, Early Learning and Culture to forward my VERIFICATION OF ELIGIBILITY AS A SUBSTITUTE teacher to the education authority or authorities as indicated above. Signature: Date: PERSONAL SELF-DISCLOSUREP lease answer yes or no for each statement. For each statement where you answer no you must attach a signed and complete explanation. YesNoI attest that my PEI teacher s License is in good attest that my PEI teacher s License has never been suspended, cancelled or attest that I have never held a teacher s license that has been suspended, cancelled or revoked.

6 DECLARATIONI declare that this information is complete and accurate to the best of my knowledge and I authorize theDepartment of Education, Early Learning and Culture to verify the above inform ation. Signature: Date: Personal information on this form is collected under sections 98 and 100 of the Education Act 1988, Cap. E-02 and will be used for the purpose of verifying identity and educational credentials. If you have any questions about this collection of personal information, you may contact the Office of the Registrar, Certification and Standards Section, Department of Education, Early Learning and Culture, Holman Centre Suite 101, 250 Water Street, Summerside, PEI C1N 1B6 Telephone 902-438-4130 LAST UPDATED AUGUST 20, 2016 Under Section 100. (7) of the Education Act, the Registrar may refuse to issue teacher 's license to an applicant on the grounds that the applicant knowingly made a false statement in the application or accompanying documents.

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