REQUEST FOR OUT-OF-FIELD AUTHORIZATION TO TEACH



|REQUEST FOR OUT-OF-FIELD AUTHORIZATION TO TEACH |

-TO BE SUBMITTED BY EMPLOYING SCHOOL OR DISTRICT-

General Information

|OUT-OF-FIELD AUTHORIZATION TO TEACH (OFAT) |

Louisiana offers OFAT certificates to Louisiana employing public school systems that have not been able to employ certified teachers. These applicants must hold a Louisiana teaching certificate, but are teaching outside of their certified area. An OFAT certificate will be issued for one three-year period while the holder pursues endorsement (add-on) certification requirements. If the teacher is actively pursuing certification in the field and the Louisiana Department of Education has designated the area as an area that requires extensive hours for completion, up to two additional years of renewal may be granted.

Eligibility Requirements - An applicant must be teaching outside of their area of certification, hold either a valid Louisiana Out-of-State Certificate (OS); Temporary Employment Permit (TEP); or a Type C, Type B, Type A, Level 1, Level 2, or Level 3 teaching certificate to be employed under an OFAT certificate.

➢ Applicants pursuing certification in Academically Gifted, Significant Disabilities, Early Interventionist, Hearing Impaired, and Visual Impairments/Blind may be granted two additional years of renewal;

➢ Applicants pursuing certification in Mild/Moderate may be granted one additional year of renewal.

|Application Process |

The following items are required as part of a complete application packet:

1. Application for OFAT Certificate form with all information provided;

2. Professional Conduct form with all questions answered and signed by the applicant;

3. $25.00 non-refundable certification processing fee (fee should be submitted in the form of a school district check or money order, made payable to Louisiana Department of Education). This fee is required for the initial OFAT only.

All application materials are to be sent to the Louisiana Department of Education as a single packet. Once the complete set of application materials are received, the application packet will be evaluated for purposes of issuing a Louisiana certificate. We regret that we are unable to process requests that are missing any of the required materials; incomplete

applications will be returned with directions as to what is missing in the application.

Additional Information

♦ Contact Information: If there are questions about requirements or the certification process, please contact the Division of Certification, Leadership and Preparation at (225) 342-3490 (or toll free at 1-877-453-2721), or email Customerservice@ for assistance.

LOUISIANA DEPARTMENT OF EDUCATION

Certification and Preparation

SCHOOL SESSION ______ ─ ______

|Subject area(s) to be taught (as listed in Bulletin 746): |Grade Level: |

| | |

| | |

♦ A prescription/outline of course work required for add-on certification in the area of the teaching assignment will be enclosed with the initial OFAT certificate. The employing school district should give every applicant for an Out-of-Field Authorization to Teach Certificate a copy of the guidelines and prescription/outline upon receipt of the certificate.

♦ Within the 3 year validity period of the OFAT certificate, a teacher must successfully complete certification in the area in which he/she holds the OFAT certificate. If the guidelines are not complete and the add-on certification has not been granted then an applicant cannot receive subsequent OFAT certificates.

________________________________________ _________________ Signature of Employing Authority Date

__________________________________________ __________________

Signature of Applicant Date

LOUISIANA DEPARTMENT OF EDUCATION

CERTIFICATION, LEADERSHIP, AND PREPARATION

PLEASE TYPE OR PRINT IN INK

|PROFESSIONAL CONDUCT FORM |

|(All questions must be answered) |

|NAME OF APPLICANT: (Including, First, Middle, and Married) |Social Security Number: |

| |________ - ______ -_______ |

|ADDRESS: |DATE OF BIRTH: |

|Each Question must be answered: |Please Check |

| |YES NO |

|1. Have you ever had any professional license/certificate denied, suspended, revoked, or voluntarily surrendered? | | |

|If YES, in what state?____________________________ | | |

|2. Are you currently being reviewed or investigated for purposes of such action as stated in #1 or is such action | | |

|pending? | | |

|If YES, in what state?_____________________________ | | |

|3. Have you ever been convicted of any felony offense, been found guilty or entered a plea of nolo contendere (no | | |

|contest), even if adjudication was withheld? | | |

|If yes, please provide the following information: | | |

|Date of Conviction: ____________________ | | |

|State of Conviction: _____ Court Jurisdiction of Conviction: ________________ | | |

|4. Have you ever been convicted of a misdemeanor offense that involves any of the following: | | |

|a. Sexual or physical abuse of a minor child or other illegal conduct with a minor child. | | |

|b. The possession, use, or distribution of any illegal drug as defined by Louisiana or federal law. | | |

|5. Have you ever been granted a pardon or expungement for any offense as stated in #3 or #4? | | |

If you answered “YES” to any questions, #1 through #5, you must provide court certified copies of all documents and proceedings, civil records of Federal, State and/or District School Board actions, or other relevant documents that provide full disclosure of the nature and circumstances of EACH separate incident in your application packet.

I affirm and declare that all information given by me in the responses to items #1 through #5 above is true, and correct, and complete to the best of my knowledge. I understand that any misrepresentation of facts, by omission or addition, may result in criminal prosecution and/or the denial or revocation of my teacher certificate.

|SIGNATURE OF APPLICANT: |DATE: |

| | |

-----------------------

APPLICATION for OUT-OF-FIELD

AUTHORIZATION TO TEACH

District Name: __________________________ School Name: _______________________________

Name: ___________________________________________________ Date of Birth: ____/____/____

(First) (Middle) (Maiden/Family) (Married)

SS#:_______-_______-________ Regular Certificate Number: _______________

Email Address: ______________________________________________________

I hereby certify that there is no regularly certified, competent, and suitable person available for this position and that the applicant named above is the best qualified person for employment in the position herein above described. District can request OFAT certificate only in the area(s) for which applicant has been hired.

I hereby certify that I have been informed of all stipulations of this certificate and understand all guidelines.

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