Professional Certification

Forms

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Application For:

Salary Reclassification and Specialist Certificate

Statement of Professional Standing

Verification of Classification and Experience

Request Type

Select the Type of Request: Salary Reclassification and Specialist Certificate Statement of Professional Standing Verification of Classification and Experience

Applicant Information

Legal Name

Surname:

Given Name:

Middle Name:

Mailing Address

Is your Mailing Address in Canada? Yes No

Email Address:

Date of Birth:

Professional School Personnel (PSP) Number: psp number

Certificate No: certificate number

Statement of Professional Standing

Would you like your Statement of Professional Standing mailed to a Teacher Certification Agency?

If you select "Yes" the original will be mailed to the agency and a copy mailed to you. If you select "No" the original will be enclosed in a sealed envelope with your copy.

Yes No

Salary Reclassification and Specialist Certificate Request

I am only requesting a specialist certificate evaluation at this time

I am requesting a salary reclassification based on:

Title of Degree or Diploma:

Post-secondary Institution Where the Degree or Diploma Was Awarded:

Date Degree Awarded:

OFFICIAL TRANSCRIPT
A degree/diploma obtained from a post-secondary institution within Canada or the United States of America require an official transcript to be mailed directly from the post-secondary institution to the Professional Certification Unit (PCU) once the degree/diploma has been awarded. For a degree/diploma obtained from a post-secondary institution outside of Canada or the United States of America requires an ICAP course-by-course evaluation by World Education Services (WES).
Please note, a transcript will not show a degree/diploma has been awarded until after the convocation date

I have requested an official transcript to be sent directly from the above mentioned post-secondary institution I have requested WES to send an ICAP course-by course evaluation directly to PCU (if applicable)

I understand that I will not be evaluated for a salary reclassification until PCU receives my official transcript showing my degree/diploma has been awarded or PCU has received the WES ICAP course-by course evaluation report directly from WES. Transcripts showing completed course work only and/or a letter of degree/diploma completion are not accepted for salary reclassification purposes.

I understand that I am responsible for providing all required documents to complete my salary reclassification request

Do You Want to Request an Evaluation of Your Degree for a Specialist Certificate? Yes No

Certificate Types:

All specialist certificate guidelines are available through the Professional Certification Unit website.

Verification of Classification and Experience Request

Would you like your Verification of Classification and Experience mailed to a Teacher Certification Agency?

If you select "Yes" the original will be mailed to the agency and a copy mailed to you. If you select "No" the original will be enclosed in a sealed envelope with your copy.

Yes No

Payment Information

Your total is $50

I Am Able to Pay for This Application Online by Visa or MasterCard: Yes No

Document Submission

Please note a Document Submission is only required if submitting approved professional development certificates, or if submitting a letter of employment for the Special Education Coordinator Certificate. DO NOT submit unofficial transcripts as the Professional Certification Unit will not open or view them.

I want to upload documents: Yes No

You must either upload a document with your submission OR indicate you would like to mail in your document in the next question.

Declaration

This personal information is being collected under the authority of Manitoba Regulation 115/2015 made under The Education Administration Act, and will be used for ongoing verification of certification, notification and data analysis. Personal information is protected under The Freedom of Information and Protection of Privacy Act. If you have any questions about the collection, contact Professional Certification Unit, Box 700, Russell MB R0J 1W0 ph. 1-800-667-2378 or 1-204-773-2998.

Check This Box to Indicate You Accept the Above Statement

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