CTE Clock Hour Program Application CTE Clock Hour Application Step 1 of 3 33% Name(Required) First Middle Last Date of Birth(Required) MM slash DD slash YYYY Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)(xxx) – xxx – xxxxEmail(Required) Enter Email Confirm Email GenderFemaleMaleOtherPrefer not to AnswerRace/Ethnicity(Required)American Indian or Alaska NativeAsianBlack or African AmericanMexican or Mexican-AmericanNative Hawaiian or Pacific IslanderWhiteUnknown or Prefer Not to AnswerDoes your school district pay for any your CTE courses?(Required) Yes No How many classes will they be paying for?Please enter a number from 0 to 7.How does your district pay for your courses? They will be pay EWU directly They reimburse me for my tuition What is your school district?Who is the contact person and their email for billing? What is the highest level of education you have achieved(Required) High School Some College Associate Degree Bachelor’s Degree Graduate or Professional Degree Other Do your currenlty hold a Washington state teacher or administrator certification?(Required) Yes No Which type(s) of certifications do you hold?Type of CertificateWashington Certification NumberEndorsements Add RemoveAre you currently teaching?(Required) Yes No School you are currenlty teaching atSchool DistrictWhat courses do you currently teach or have you taught in the past? Add Remove Do you have an eCert account set up through the Washington State Office of the Superintendent of Public Institution (OSPI)?(Required) Yes No If you do not have an eCert account, you will create one during your portfolio class within the program.Do you have the required 6,000 hours (about 3 years) of occupational and/or teaching experience in the area that you wish to teach with your CTE certificate?(Required) Yes, I have 6,000 hours of occupational industry experience. Yes, I have 6,000 hours of teaching experience specifically in STEM. Yes, I have 2,000 hours of occupational industry experience + 4,000 hours of teaching experience. Unsure, I would like to consult with CTE Director if I have the right required experience. Have you completed your Basic Skills Testing?(Required) Yes No Which Basic Skills Test have you taken that tested you on reading, writing, and math?(Required) National Board Certified WEST-B: Reading, Writing, & Math subtests ACT SAT CBEST: Reading, Writing & Math subtests All CTE Teacher Candidates are required by WA state to take a Basic Skills Test in reading, writing, and mathematics for admission, as listed in RCW 28A.410.220. A passing score is NOT required, but candidates need to provide the official score report of one of the WA state approved tests. Please upload your scores to your eCert account, or email them to cteprograms@ewu.edu if you do not have one.Are your scores uploaded to your ECert account?(Required) Yes No What is your Industry Experience in?What V-Codes are you seeking? Add RemoveFind Your V-Code Here Attach your resume here:(Required)Accepted file types: pdf, docx, Max. file size: 63 MB. Δ
