Official 21 Kansas Form in PDF Access Editor Now

Official 21 Kansas Form in PDF

The 21 Kansas form is an application used by individuals seeking to upgrade to a professional license in the state of Kansas. This form requires applicants to provide personal information, including their social security number, legal name, and educational background, as well as details regarding any prior criminal convictions or disciplinary actions. Completing this form accurately is crucial for those aiming to advance their professional credentials in education.

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Documents used along the form

The process of obtaining a professional license in Kansas involves several important forms and documents. Each of these documents plays a crucial role in ensuring that applicants meet the necessary qualifications and standards set by the state. Below is a list of forms commonly used alongside the 21 Kansas form, along with brief descriptions of their purposes.

  • Verification of Induction and Mentoring Program: This form confirms that a conditionally or initially licensed teacher has successfully completed a year-long induction and mentoring program. It must be filled out by a district or building administrator and is essential for the applicant to receive their professional license.
  • FedEx Release Form: This document allows customers to authorize FedEx to leave a package at a designated location when they will not be home for delivery. To learn more, visit PDF Templates.
  • Criminal History Record Check: Applicants are often required to submit a criminal history record check. This document provides information about any criminal convictions and is used to assess the moral character of the applicant, ensuring they meet the ethical standards necessary for a teaching position.
  • Official Transcripts: Applicants must provide official transcripts from all educational institutions they attended. These transcripts verify the degrees earned and are crucial in establishing the educational qualifications needed for licensure.
  • Application Fee Payment: A payment document, typically in the form of a money order or cashier’s check, is required to cover the application fee. This payment is necessary for processing the application and must be included with the submission of the application form.
  • Disciplinary Action Documentation: If an applicant has faced any disciplinary action regarding their teaching credentials in any state, they must provide documentation of that action. This ensures transparency and allows the licensing board to make informed decisions regarding the applicant's suitability for licensure.

Understanding these accompanying documents is essential for a smooth application process. Each form serves a specific purpose, contributing to the overall assessment of the applicant's qualifications and character. Being prepared with the necessary paperwork can significantly enhance the likelihood of a successful application for a professional license in Kansas.

FAQ

  1. What is the purpose of the 21 Kansas form?

    The 21 Kansas form is an application for individuals seeking to upgrade to a professional teaching license in Kansas. It collects essential personal and educational information required for the licensing process.

  2. Who needs to complete this form?

    This form must be completed by anyone who holds a conditional or initial teaching license and wishes to obtain a professional license in Kansas.

  3. What information is required in Section A?

    Section A requires personal details such as your social security number, legal name, prior names, mailing address, birthdate, gender, and contact numbers. It also asks about any criminal history or disciplinary actions related to your teaching credentials.

  4. What should I do if I have a criminal conviction?

    If you have been convicted of a felony or any crime involving theft, drugs, or a child, you must attach copies of the relevant court documents to your application.

  5. Is there a fee associated with the application?

    Yes, there is a $54.00 application fee. This fee should be made payable to the Kansas State Department of Education. Acceptable payment methods include money orders, cashier’s checks, or personal checks. Cash should not be sent.

  6. What is the verification of induction and mentoring program?

    This verification confirms that you have successfully completed a year-long induction and mentoring program required for obtaining a professional license. It must be filled out by the district or building administrator where the program took place.

  7. What happens if I misrepresent information on the form?

    Misrepresentation of facts can lead to the denial or revocation of your license. It is crucial to provide accurate and complete information.

  8. Where do I send my completed application?

    Your completed application, along with the fee, should be mailed to:

    Teacher Education and Licensure, KSDE, 120 SE 10th Avenue, Topeka, KS 66612-1182.

  9. How long does the processing take?

    Processing times may vary. However, it is important to note that submitting the application and fee does not guarantee that a license will be issued. It is advisable to apply well in advance of any deadlines.

  10. What if I have additional questions about the form?

    If you have further questions, it is recommended to contact the Kansas State Department of Education directly for assistance. They can provide guidance specific to your situation.

Misconceptions

  • Misconception 1: The 21 Kansas form is only for new applicants.
  • This form is applicable not only to new applicants but also to those seeking to upgrade their existing licenses. It serves as a comprehensive application for individuals who may have previously held a license and are now looking to obtain a professional license.

  • Misconception 2: Providing a Social Security number is optional.
  • In fact, the form explicitly requires the applicant's Social Security number. This information is essential for identification and verification purposes during the licensing process.

  • Misconception 3: Prior criminal convictions automatically disqualify an applicant.
  • While prior convictions must be disclosed, they do not automatically disqualify an applicant. Each case is evaluated individually, and the context of the conviction is considered in relation to the applicant's overall qualifications and character.

  • Misconception 4: The application fee is refundable.
  • The application fee, which amounts to $54.00, is non-refundable. Applicants should be aware that this fee does not guarantee the issuance of a license, regardless of the outcome of the application process.

File Specs

Fact Name Details
Form Title Application for Kansas Upgrade to Professional License
Governing Law Kansas Statutes Annotated, Chapter 72, Article 14
Application Fee $54.00, payable to the Kansas State Department of Education
Submission Address Teacher Education and Licensure, KSDE, 120 SE 10th Avenue, Topeka, KS 66612-1182
Processing Fee Policy The processing fee is non-refundable and does not guarantee a license will be issued.
Induction Program Requirement A year-long, district-administered induction and mentoring program is required for license issuance.

Similar forms

The 21 Kansas form for applying for a professional license shares similarities with the Application for Teaching License in many states. Both forms require personal information such as social security number, legal name, and contact details. Additionally, they inquire about the applicant’s educational background and any prior names. Both forms emphasize the importance of disclosing any criminal history, including felonies and disciplinary actions taken against previous teaching licenses. This comprehensive approach ensures that the licensing board can assess the applicant's qualifications and moral character effectively.

Another document with a similar structure is the Application for Certification in Texas. Like the Kansas form, it requires applicants to provide personal information, educational history, and details about any criminal convictions. Both applications also ask for verification of completion of any required mentoring or induction programs. This commonality highlights the importance of thorough background checks in the certification process to maintain educational standards across states.

The Application for Professional License in California also mirrors the 21 Kansas form in its request for detailed personal and educational information. Both forms require applicants to disclose any criminal history and previous disciplinary actions related to teaching credentials. Furthermore, they necessitate the submission of supporting documents, such as transcripts and court records, which reinforces the need for transparency in the licensing process.

The Application for Educator License in Florida shares several characteristics with the Kansas form. Both documents require applicants to provide their social security number, legal name, and contact information. They also ask about any prior criminal convictions and disciplinary actions against previous licenses. The emphasis on a complete disclosure of background information serves to protect the integrity of the educational profession in both states.

Understanding the various state-specific application processes for educator licenses is vital for prospective teachers. For instance, the process in California, including the need to provide personal identification and educational history, is essential for maintaining high standards in education. For those looking for resources to assist with forms like the California Trailer Bill of Sale, you can visit My PDF Forms to find helpful information.

The Application for Educator Certification in New York is another document that resembles the 21 Kansas form. It similarly collects personal data, educational qualifications, and any history of criminal convictions or disciplinary actions. Both forms require applicants to affirm their moral character and the truthfulness of the information provided, which is crucial for maintaining high standards in education.

The Application for Teacher Certification in Illinois also follows a similar format. It includes sections for personal identification, educational achievements, and inquiries about any criminal history. Both forms require documentation of any disciplinary actions taken against previous teaching licenses, ensuring that applicants are held to a standard of accountability in their professional conduct.

The Application for Professional Educator License in Georgia exhibits similarities with the Kansas form as well. Both documents require detailed personal information and educational credentials, along with questions regarding any criminal history or disciplinary actions. This alignment reflects a shared commitment to ensuring that educators meet certain ethical and professional standards before obtaining a license.

The Application for Teacher Licensure in Ohio shares structural similarities with the 21 Kansas form. Both require applicants to provide their social security number, educational background, and details about any criminal history. Additionally, both forms stress the importance of character verification through questions about past disciplinary actions, which underscores the necessity of maintaining trust within the educational system.

Finally, the Application for Educator License in Michigan also parallels the Kansas form in its approach. Both forms ask for personal identification, educational history, and any relevant criminal background. They also require documentation of any disciplinary actions against teaching credentials, which is essential for ensuring that educators are qualified and trustworthy professionals.

Preview - 21 Kansas Form

F O R M 21

Application for Kansas

Upgrade to

P R O F E S S I O N A L L I C E N S E

SECTION A – TO BE COMPLETED BY APPLICANT

1.

Social Security Number

___ ___ ___ - ___

___ - ___ ___

___ ___

 

 

 

 

 

 

 

 

 

 

2.

Legal Name

(First)

(Middle)

(Last)

 

 

 

 

 

 

 

 

 

3.

List all prior names (maiden, alias, previous married, etc.)

 

 

 

 

 

 

 

 

 

 

 

4.

Mailing Address

 

 

City

 

State

Zip Code

 

 

 

 

 

 

 

 

5.

Birthdate (MM/DD/YYYY)

6. Gender

7. Phone:

___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___

 

 

Male

 

 

 

 

 

 

 

 

 

Female

Alternate Phone:

___ ___ ___ - ___ ___ ___ - ___ ___ ___ ___

 

 

 

 

 

 

 

8. a. Have you ever been convicted of a felony?

 

 

 

 

 

NO

YES

If yes, please attach a copy of the court documents regarding conviction.

b.Have you ever been convicted of ANY crime involving theft, drugs, or a child?

NO

YES

If yes, please attach a copy of the court documents regarding conviction.

c.Have you entered into a criminal diversion agreement after being charged with any offense described in question 8a or 8b?

NO

YES

If yes, please attach a copy of the diversion agreement.

d.Are criminal charges pending against you in any state involving any of the offenses described in question 8a or 8b?

NO

YES

If yes, please attach a copy of the court documents regarding your case.

e.Have you had a teacher’s or school administrator’s certificate or license denied, suspended, revoked or been the subject of other disciplinary action in any state?

NO

YES

If yes, please indicate the action taken:

denied,

suspended or

revoked.

Which state(s)?

Please attach a copy of the documents regarding the official action taken.

f.Is disciplinary action pending against you in any state regarding a teacher’s or administrator’s certificate or license?

NO

YES

If yes, please attach a copy of the official documents regarding the action pending against you.

g.Have you ever been disbarred or had a professional license or state issued certificate denied, suspended, revoked or been the subject of other disciplinary action regarding any profession in Kansas or any other state?

NO

YES

If yes, please indicate the action taken:

denied,

suspended or

revoked.

Which state(s)?

Please attach a copy of the documents regarding the official action taken.

h.Have you ever been terminated, suspended, or otherwise disciplined by a local Board of Education for falsifying or altering student tests or student test scores?

NO

YES

If yes, which district(s)?

When?

i.Have you ever falsified or altered assessment data, documents, or test score reports required for licensure?

NO

YES If yes, what state(s)?

When?

 

 

 

9. List all degrees earned: (example: BA, MS, EDS, etc.) If you earned a new degree since your initial license, attach official transcripts.

Institution:_________________ Degree:__________ Year Earned:________

Institution:_________________ Degree:__________ Year Earned:________

Institution:_________________ Degree:__________ Year Earned:________

Institution:_________________ Degree:__________ Year Earned:________

10.I certify that I am of good moral character and that the information on this application is true and complete to the best of my knowledge. I understand that any misrepresentation of facts may result in the denial or revocation of my license.

Signature of Applicant

Date

Include a $54.00 Application Fee made payable to the Kansas State Department of Education.

 

 

Money order or cashier’s check preferred. Personal checks accepted.

 

 

DO NOT SEND CASH.

 

MAIL TO: Teacher Education and Licensure, KSDE, 120 SE 10th Avenue, Topeka, KS 66612-1182.

 

Processing fee CANNOT be refunded and does not guarantee a license will be issued.

 

Form 21 – Professional License

1

Revised 03-12

 

 

VERIFICATION OF AN INDUCTION AND MENTORING PROGRAM

Each conditionally or initially licensed teacher, school specialist or school leader must complete a year-long, district- administered induction and mentoring program to pass the performance assessment as a prerequisite to receiving a professional license.

Mentored Teacher/School Specialist/School Leader information

This form should be completed by the district or building administrator where the mentoring program occurred.

Name (First)

(Middle)

(Last)

 

 

 

Social Security Number ___

___ ___ - ___

___ - ___ ___ ___ ___

OR

 

 

Teacher identification number from license

_______________________________________

If the current school year is the mentor year, do not complete and submit until after May 15th

I verify:

The above named applicant successfully completed a year-long induction and mentoring program provided by the district. (By verifying this information, a professional license will be issued upon fulfillment of all other regulatory requirements.)

District Name and Number where mentoring occurred

Accreditation Information

NO YES

 

 

State Accredited School?

 

 

If not state accredited, attach verification of accreditation status.

Building Name

 

 

 

 

 

 

 

 

Beginning Date of mentored

Ending date of mentored

Assignment of teacher/school specialist/leader

Grade level

experience (MM/DD/YYYY)

experience (MM/DD/YYYY)

during mentored experience

 

 

 

 

 

 

 

 

 

 

 

Administrator’s Name (Please Print or Type)

Administrator’s Position

(May be district or building)

School Phone Number

Administrator’s Signature

Who was the mentor?

Date

_______________________________________________________

_________________________________

Mentor’s Name:

 

Mentor’s SS# or teacher ID#

 

 

 

Form 21 – Professional License

2

Revised 03-12

 

 

Form 21 – Professional License

3

Revised 03-12