The Oregon TSPC C-1 form is an essential document for educators seeking licensure or registration within the state. It is required by the Teacher Standards and Practices Commission (TSPC) for those applying for initial licensure, renewals, charter school registrations, and adding endorsements among other purposes. Applicants must carefully read the instructions, attest to the truthfulness of their information, and understand that providing false information can lead to denial or revocation of their application.
The Oregon Teacher Standards and Practices Commission (TSPC) C-1 form serves a critical role in the application process for obtaining an educator license or registration within the state. Situated in Salem, Oregon, the TSPC oversees the integrity and quality of educator licensing to ensure that all individuals meet the requisite standards for professional practice. The comprehensive C-1 form requires applicants to provide detailed personal information, educational background, and professional experience, underscoring the commission's commitment to upholding high standards within the educational community. Applicants must carefully complete this document, as it necessitates affirmations of good moral character and professionalism, alongside disclosures related to any past misconduct or legal issues that could influence their eligibility. The requisite honesty and thoroughness in completing the form reflect the emphasis on ethical standards and integrity within the education sector. Additionally, the form serves as a tool for child support enforcement and state income tax collection, illustrating its multifaceted role beyond mere licensure. By requiring a detailed account of an applicant's educational and professional background, the C-1 form helps the TSPC ensure that only qualified and committed individuals are granted the privilege of shaping Oregon's educational landscape.
Teacher Standards and Practices Commission
250
Division St NE
Salem, OR 97301
Email: contact.tspc@oregon.gov
Phone (503) 378-3586;
Fax
(503) 378-4448
Web Site: www.oregon.gov/tspc
Application for Educator License or Registration – Form C-1
Before completing this form please read the instructions carefully. Once complete, sign the application, attesting to the accuracy of information provided. Providing false information on your application is grounds for the Commission to deny your application or revoke your license or registration.
Please write legibly and use black or blue ink. Please be sure to provide your full legal name.
LAST NAME
FIRST NAME
MIDDLE NAME
PREVIOUS
Current Mailing Address
Check this box if new address City, State and Postal Code
Male
Female
Home/Cell phone number Work phone number
Date of Birth
Gender
Social Security Number
E-mail Address
As part of your application for an initial or renewed license or registration, you are required to provide your Social Security Number (SSN) for purposes of child support enforcement (ORS 25.785 and 42 USC § 666(a)(13)) and state income tax collection (ORS 305.385 and 42 USC § 405(c)(2)(C)(i)).
The Commission may also disclose your SSN to the interstate clearinghouse for educators if your Oregon license or registration is subject to discipline for unprofessional conduct (ORS 342.143 and 342.175 to 190).
Ethnic and Race Status: (Optional - for statistical purposes only)
1.
Which race or ethnicity best describes you?
(You may check more than one)
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino or other Spanish Origin
Native Hawaiian or Other Pacific Islander
Multi-ethnic
White
Other
2.
If you checked above that you are an American Indian, please check here if you are a
member of one of the nine recognized tribes in Oregon.
3.
Is English your first language?
Yes
No
Previous Educational Licenses, Registrations, and Certifications: (Required information)
1.Have you held any type of Oregon educational license previously? Yes No
2.Have you held any license valid for full-time educational work (to include substitute teaching) in another state? Yes No
3.If yes to #2, in which other state or states are/were you licensed? ______________________
4.When did you receive your first unrestricted license in another state? _________________
5.Under what name(s) (in Oregon or another state) were you previously licensed? __________________
PURPOSE FOR FILLING OUT THIS APPLICATION
Apply for new type of license (administrator, counselor, etc.): _______________________________
Add endorsement(s): _____________________________
Reinstate an expired license: _________________________________
Renew an existing license: _______________________________
Charter School Registration:
First time application or
Renewal
Teacher or
Administrator
Other: ______________________________
ACADEMIC DEGREES & EDUCATOR PROGRAMS COMPLETED
List all institutions from which you have earned a degree, unless already on file with TSPC. Also list all teacher, counselor, psychologist, or administrator programs you have completed, regardless of any connection to a degree. If you have not yet completed a degree or educator licensure program, please state “NONE.”
1.______________________________ ___________________________ ___________________________ ________________________
College or University
City & State
Major/Program
Degree earned (BS, MAT, etc.)
2.______________________________ ___________________________ ___________________________ ________________________
3.______________________________ ___________________________ ___________________________ ________________________
4.______________________________ ___________________________ ___________________________ ________________________
5.______________________________ ___________________________ ___________________________ ________________________
Please Note: For some license applications, you will be required to submit official transcripts to verify coursework. Please see renewal and application instructions for individual licenses to determine what you need to submit.
EXPERIENCE AS PROFESSIONAL EDUCATOR
List all of your employment experience in the last five years as a teacher, school counselor, psychologist, social worker or administrator to TSPC. If none, state “NONE”. If you worked as a substitute (full or restricted), please indicate.
Dates
Name of School
Grade
Contracted
Substitute
From:
To:
Level(s)
½ time or more?
experience?
Statement of Professionalism
Adopted by the Oregon Teacher Standards and Practices Commission on
April 25, 2013
As educators, we belong to a profession that serves Oregon K-12 students, schools, our communities and the public good. We aspire to a professional standard of conduct that goes beyond merely complying with ethical rules. Professionalism is the courage to care about and act for the benefit of our children, our students, our peers, our careers and the public good.
Because we are committed to professionalism, we will conduct ourselves in a way consistent with the following principles in dealing with our students, our peers, our supervisors, and the public.
Specifically, I will:
Attest to all that I have good moral character.
Put the welfare of children first and will do no physical or emotional harm to a child.
Conduct myself with integrity.
Avoid all forms of discrimination against my students and all others.
Commit to academic equity in learning for all of my students.
Commit to educational excellence in all I do.
Respect my colleagues.
Commit to lifelong professional development to improve my skills and the opportunities for my students and the profession.
Resolve disputes with students with compassion, empathy and patience.
Be a role model for my students.
Never violate the student-educator boundaries critical for student achievement and success.
I hereby certify that the information submitted on or relating to this form is true and correct and grant the Commission permission to check civil or criminal records to verify any statement made on this application.
_________________________________________
_____________________________
Signature of Applicant/Educator
Date
Printed Signature
CHARACTER QUESTIONS
Please carefully read the “Instructions for Answering Character Questions” before answering. You must answer either “yes” or “no” to each of the following questions; any other response will result in your application being considered incomplete. All "yes" answers must be fully explained in writing on a separate piece of paper and the explanations must be signed and dated by you. You must also include certified true copies of all legal documents, including court records.
Have you ever left any educational or school-related employment, voluntarily or involuntarily, while
the subject of an inquiry, review or investigation of alleged misconduct? Have you ever left
educational or school-related employment when you had reason to believe an investigation for
misconduct was underway or imminent?
Are you currently the subject of an inquiry, review or investigation for alleged misconduct or
alleged violation of professional standards of conduct by either an employer or a licensure
agency?
Have you ever been placed on leave by your employer for any alleged misconduct?
4.
Have you ever had any adverse action taken on a professional certificate, license or charter
school registration? Have you ever been placed on probationary status for alleged misconduct
while holding a professional license, certificate, registration, or credential?
5.
Have you ever been denied any professional license for which you applied or granted a
professional license on a conditional or probationary basis for any alleged misconduct?
6.
Have you ever surrendered a professional license of any kind before its expiration?
7.
Have you ever been disciplined by any public agency responsible for licensure of any kind,
including but not limited to educational licensure?
8.
Have you ever been convicted or been granted a diversion or conditional discharge by any court
for any: (a) Felony; or (b) Misdemeanor; or (c) Major traffic violation including but not limited to:
driving under the influence of intoxicants or drugs; reckless driving; fleeing from or attempting to
elude a police officer; driving while your license was suspended, revoked or used in violation of
any license restriction; or failure to perform the duties of a driver or witness at an accident?
9.
Have you ever been arrested or cited for any offense listed in section (8) above which is still
pending in the courts? This includes any diversion, conditional discharge or postponed
adjudication that has not been dismissed by the courts at the time this application is signed.
10. Have you ever had any civil judgment or other court order, including but not limited to a restraining
order, entered against you resulting from allegations of abuse, assault, battery, harassment,
10.
intimidation, neglect, stalking, or other threatening behavior toward other persons?
Check here if you provided an explanation for any “yes” answer with a prior application. Please know that any new incident that occurred since your last application requires that you answer “yes” and include a full written explanation, along with applicable court documents.
Your Signature and the Date: Under penalty of false swearing, I declare that the information in this application is true, correct, and complete. Providing false information is grounds for the Commission to deny my application or revoke my license or registration. I also grant the Commission permission to check civil or criminal records to verify any statement made on this application.
Signature of the Applicant
Date*
*This application must be signed and dated within 60 days prior to the date the application is received by TSPC.
YOU MUST PRINT AND MAIL THIS FORM DIRECTLY TO: TSPC
250 Division St. NE
Salem, Oregon 97301
Filling out the Oregon TSPC C-1 form is an important step for educators seeking licensure or registration in the state. This document requires precise personal and professional information to be provided accurately and legibly. Carefully following the steps to complete this form is crucial for a successful application process. Ensure you have all necessary information and documents on hand before starting, including details of your educational background, professional experience, and any previous licenses or certifications held. Once completed, this form sets the stage for the next steps in attaining or renewing your educator license or registration, moving you closer to your goal of contributing to education in Oregon.
By methodically and carefully following these steps, educators can ensure that their application for licensure or registration via the Oregon TSPC C-1 form is complete and accurate. This paves the way for a smoother review process, helping applicants to achieve their professional objectives in the field of education within Oregon.
The Oregon TSPC C-1 Form is an application used by individuals seeking to obtain, renew, reinstate, or apply for a new type of educator license or registration in Oregon. It is required by the Teacher Standards and Practices Commission (TSPC) for various educational positions such as teachers, administrators, counselors, and others within the state.
Any individual seeking initial licensure or registration, renewal of an existing license, reinstatement of an expired license, or applying for a new license type or endorsement within the educational system in Oregon must complete the TSPC C-1 Form. This includes applicants for teacher, counselor, administrator licenses, and charter school registrations.
The Social Security Number (SSN) is required for child support enforcement, state income tax collection, and may also be disclosed to the interstate clearinghouse for educators if the applicant's Oregon license or registration is subject to discipline for unprofessional conduct.
If answering "yes" to any character question, a full explanation must be provided on a separate piece of paper, accompanied by signed and dated explanations, and certified true copies of all legal documents, including court records related to the matter.
The Statement of Professionalism is a commitment adopted by the Oregon Teacher Standards and Practices Commission outlining the professional standards and ethical conduct expected of educators in Oregon. By signing the C-1 Form, applicants attest to upholding these standards.
The completed form must be printed and mailed directly to the TSPC at the address provided on the form. It is important to ensure that all information is accurate and the form is signed and dated within 60 days prior to submission.
For some license applications, official transcripts are required to verify coursework. Applicants should refer to the renewal and application instructions for individual licenses to determine if this is necessary for their application.
Providing false information on the TSPC C-1 Form is grounds for the Commission to deny an application or revoke a license or registration. The Commission also reserves the right to check civil or criminal records to verify any statement made on the application.
Yes, applicants who have held a license valid for full-time educational work, including substitute teaching, in another state must provide details about those licenses, including the states where they were licensed and under what names they were previously licensed.
Filling out the Oregon TSPC C-1 form, which is a necessary step for educators seeking licensure or registration in Oregon, requires careful attention to detail. However, applicants often make several common mistakes during this process. Recognizing and avoiding these errors can streamline the application process, reducing delays and the likelihood of a rejected application.
To ensure the smooth processing of an Oregon TSPc C-1 form, individuals must approach the task with diligence and attention to detail. By avoiding these common mistakes and following the instructions provided, applicants can improve their chances of a successful application for licensure or registration.
When applying for an educator license or registration in Oregon with the TSPC C-1 Form, applicants often need to accompany this form with several other documents and forms to ensure a comprehensive evaluation by the Teacher Standards and Practices Commission. These documents not only fulfill statutory requirements but also enhance the credibility of the application by providing a rounded view of the applicant's qualifications, background, and professional demeanor. Understanding these additional documents is crucial for a successful application process.
Collectively, these documents complement the TSPC C-1 Application for Educator License or Registration, helping the Commission to make an informed decision. For applicants, gathering and preparing these documents is a step towards demonstrating their commitment to professionalism and their readiness to meet the standards set forth by Oregon's educational system. It's advisable for applicants to check the specific requirements associated with their desired license type and ensure that all necessary documentation is complete and accurate before submission.
The "Application for License to Practice Medicine" similar to the Oregon TSPC C-1 form, is utilized by individuals seeking to obtain a medical license. Like the TSPC form, it requires the applicant to submit their personal information, educational background, and professional experience. Additionally, it often includes questions about professional conduct and disciplinary actions, mirroring the character questions section designed to ensure that the applicant meets the professional standards required for the position. The emphasis on both forms is to verify the applicant's qualifications and ensure a standard of professionalism within the field.
A "State Bar Exam Application" shares similarities with the Oregon TSPC C-1 form in its meticulous requirement for detailed personal history, educational background, and professional experience. This form delves into the applicant's educational journey and successes, much like the TSPC form, by requesting information on the law schools attended and degrees obtained. Moreover, it tackles moral character and fitness to practice law, analogous to the character questions on the TSPC form, to ensure the applicant's integrity and ethical standards meet the profession's demands.
The "Professional Engineering License Application" parallels the Oregon TSPC C-1 form in several ways, primarily through its collection of technical and professional qualifications. Applicants must list their degrees, institutions attended, and any certifications or licensures previously held, akin to the academic degrees and educator programs completed section of the TSPC form. This form also assesses the applicant’s background, including work experience and references, to ensure they meet the professional standards required for the engineering field.
A "Real Estate Broker License Application" also shares similarities with the Oregon TSPC C-1 form. Prospective brokers must provide comprehensive personal information, educational achievements, and a full work history, emphasizing their preparedness and suitability for the role. Like the TSPC form, real estate license applications often include sections for declaring any past legal or professional issues, aiming to ensure that all practitioners uphold the highest ethical standards. The focus is on verifying the applicant’s integrity and ability to provide professional services responsibly.
The "Child Care Provider Licensing Application" is akin to the Oregon TSPC C-1 form, particularly in its requirements for thorough background information, educational credentials, and evidence of professional experience or training relevant to child care. This application often includes questions designed to evaluate the applicant’s suitability and reliability in a role that demands high ethical standards and a commitment to the welfare and safety of children, similarly to the character and professionalism outlined in the TSPC form. The overarching goal is to safeguard the community by ensuring that individuals meet stringent requirements before being entrusted with the care and education of children.
When engaging with the Oregon TSPC C-1 form for educator license or registration, individuals are encouraged to approach the process with attentiveness and precision. To assist in this venture, the following guide outlines ten advisable actions alongside practices to avoid.
By adhering to these guidelines, applicants can ensure a smoother process in submitting their Oregon TSPC C-1 form, thereby facilitating their journey toward licensure or registration in the field of education.
When navigating the process of applying for an educator license or registration in Oregon, applicants often encounter various misconceptions about the Oregon TSPC C-1 form. Understanding the truth behind these misconceptions is crucial for a smooth and successful application process.
Only Oregon residents can apply: People might think this form is exclusively for Oregon residents. However, the C-1 form is available to anyone who meets the qualifications for licensure, regardless of their state of residence.
One size fits all: It's often mistakenly believed that the C-1 form is a universal application for all types of licensure. In reality, while it serves as a primary application, specific licenses may require additional documentation or steps.
Education details are optional: Some may underestimate the importance of providing comprehensive educational background. Complete details of all relevant education are required for the processing of the C-1 form, not only degrees or programs completed in Oregon.
Social Security Number (SSN) disclosure is optional: The C-1 form explicitly states the necessity of an SSN for child support enforcement and state income tax collection. Disclosing your SSN is a mandatory step in the application process.
Past employment is irrelevant: Contrary to this belief, detailing your professional educator experience, especially within the last five years, is crucial. This information helps assess your qualifications and expertise.
Character questions are a formality: Some applicants may view the character questions section lightly. Every answer to these questions is taken seriously, requiring honest disclosure, with "yes" answers needing detailed explanations and accompanying documentation.
Checking more than one ethnicity is not allowed: The form allows individuals to identify with more than one race or ethnicity. It's designed to capture the diverse backgrounds of applicants accurately.
A physical signature isn't necessary: A common oversight is the assumption that a digital signature or typed name is sufficient. The C-1 form mandates a handwritten signature to verify the authenticity of the application and its declarations.
Dispelling these misconceptions ensures applicants are better prepared to complete the Oregon TSPC C-1 form accurately and comprehensively, enhancing the likelihood of approval for licensure and registration.
Filling out and using the Oregon Teacher Standards and Practices Commission (TSPC) C-1 form is a critical step for educators seeking licensure or registration in the state. Here are key takeaways to ensure the process is handled accurately and efficiently:
By meticulously adhering to these guidelines, applicants can navigate the TSPC C-1 form more confidently, ensuring their application is both complete and reflective of their qualifications and professional ethos.
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