Online Teaching Program Application

Kennesaw State University 
Bagwell College of Education

---

  Center for Education Placements and Partnerships
APPLICATION FOR ONLINE TEACHING CERTIFICATE

Applications submitted now will be considered for the 2018-19 school year.

If you see this don't fill out this input box.

*Today's Date

*Full Name

*KSU #

*PSC Login Account Number

(6 digit number that appears on your Georgia certificate and is used on correspondence to and from the PSC. If you do not have a PSC number and are therefore not a Georgia certified teacher, please type in XXXXXX in place of the 6 digit number.)

*Daytime Phone Number

*Email Address

*Home Address

In the Spring

I plan to take ITEC 7482--the last class in the online teaching endorsement program.I do NOT plan to take ITEC 7482--the last class in the online teaching endorsement program.

*Georgia Clear / Renewable Teaching Certificate

YesNo

I have access/ permission to teach a group of K12 students in your certification field during the spring semester for 7482

YesNo

Teaching Certification Areas/Grade Levels

Submit  Cancel