Homepage Blank Connecticut Ed 185 Form
Outline

The Connecticut Ed 185 form serves as a crucial application for individuals seeking a Five-Year Renewable Coaching Permit, a requirement that ensures coaches are adequately trained and qualified to support student-athletes. This form encompasses several key components, including personal information, proof of completed first aid and CPR courses, and verification of high school education. Additionally, applicants must demonstrate compliance with concussion and head injury training through the Connecticut Coaching Education Program. The form also includes sections that assess an applicant's background, specifically regarding any past criminal convictions or disciplinary actions related to professional credentials. To maintain the integrity of the coaching profession, the State Board of Education mandates that applicants undergo a criminal history records check, along with a review of child abuse and neglect registries. Furthermore, for those renewing their permits, documentation of ongoing education in safe coaching practices is required. Overall, the Ed 185 form is designed not only to streamline the certification process but also to uphold the highest standards of safety and professionalism in youth sports coaching.

Sample - Connecticut Ed 185 Form

LAST NAME
APPLICATION FOR FIVE-YEAR RENEWABLE COACHING PERMIT
PART I: PERSONAL INFORMATION (Print all information in blue ink and in uppercase letters.)
FIRST NAME MI
ADDRESS (Street) (Apt #)
(City)
(State) (Zip Code)
FORMER LAST NAME(S)
1. Have you ever been convicted of any  
 
  









NOTE: 




PAGE 1
Information on this application is subject to disclosure pursuant to the Freedom of Information Act.
ED 185
REV. 1/12
C.G.S. 10-145
C.G.S. 10-145d
C.G.S. 10-149
C.G.S. 10-149b
Regs. 10-145d-423
CONNECTICUT STATE DEPARTMENT OF EDUCATION

P.O. Box 150471 – Room 243
Hartford, CT 06115-0471
www.ct.gov/sde
 Required
PHONE

  
 
 
(Optional)  
 
PART II: COMPLETION OF REQUIRED FIRST AID COURSE
3 years

 
PART III: COMPLETION OF REQUIRED CPR COURSE


 
PART IV: HIGH SCHOOL INFORMATION

PART V: CONCUSSION AND HEAD INJURY TRAINING REQUIREMENT


PART VI: COMPLETION OF REQUIRED COACHING COURSE

 

PART VII: RENEWAL OF FIVE-YEAR RENEWABLE COACHING PERMIT
  





PART VIII: APPLICANT ATTESTATION




 
PAGE 2
Original Signature Must Be On Form Submitted
ED 185
INSTRUCTIONS TO APPLICATION FOR
FIVE-YEAR RENEWABLE COACHING PERMIT


For the ISSUANCE of a Five-Year Renewable Coaching Permit you must complete and submit the following:
Applicant:
1. -

2. -

Instructions:



Please remember to sign your
Standard First Aid card prior to photocopying.
Please remember to sign your
CPR card prior to photocopying.
 
mitted in lieu of a copy of your diploma.

 original

 
(continued)
ED 185
REV. 1/12
C.G.S. 10-145
C.G.S. 10-145d
C.G.S. 10-149
C.G.S. 10-149b
Regs. 10-145d-423
CONNECTICUT STATE DEPARTMENT OF EDUCATION

P.O. Box 150471 – Room 243
Hartford, CT 06115-0471
www.ct.gov/sde
Information on this application is subject to disclosure pursuant to the Freedom of Information Act.
For the RENEWAL of a Five-Year Renewable Coaching Permit:
Instructions:
 

Please remember to sign your Standard First Aid
card prior to photocopying.

Please remember to sign your CPR card prior to photocopying.
 original



NOTE




E-mail: teacher[email protected]
Website: www.ct.gov/sde
FAX: 860-713-7017
PHONE: 860-713-6969 


Form Information

Fact Name Description
Purpose The ED 185 form is used to apply for a Five-Year Renewable Coaching Permit in Connecticut.
Governing Laws The form is governed by Connecticut General Statutes Sections 10-145, 10-145d, 10-149, and 10-149b.
Personal Information Applicants must provide personal details, including their name, address, and social security number.
Criminal History Check A criminal history records check is mandatory for all applicants, as per C.G.S. Section 10-221d.
First Aid Requirement Applicants must complete a first aid course within three years prior to applying.
CPR Certification A valid CPR certification is required, along with proof of completion attached to the application.
Concussion Training Completion of concussion and head injury training is necessary, with certification required from the Connecticut Coaching Education Program.
High School Documentation Applicants need to submit a copy of their high school diploma or an official transcript.
Renewal Process For renewal, applicants must complete additional coursework and submit relevant documentation.
Contact Information Questions can be directed to the Bureau of Educator Standards and Certification via email or phone.

Detailed Guide for Filling Out Connecticut Ed 185

Filling out the Connecticut Ed 185 form is an important step in applying for or renewing a five-year renewable coaching permit. This process requires careful attention to detail and the inclusion of various supporting documents. Once you have completed the form, you will need to submit it along with the necessary attachments to the Bureau of Educator Standards and Certification for processing.

  1. Begin with Part I: Personal Information. Use blue ink and uppercase letters to fill in your last name, first name, middle initial, social security number, address, phone number, email address (optional), and gender.
  2. Answer the questions regarding any past convictions or professional credential issues. If you answer "YES" to any question, prepare a signed statement of explanation and include official records if applicable.
  3. Move to Part II and indicate the name and date of completion of your required First Aid course. Attach a photocopy of your signed First Aid card or the original certificate of completion.
  4. In Part III, provide the name and date of completion of your CPR course. Again, attach a photocopy of your signed CPR card or the original certificate of completion.
  5. For Part IV, attach a copy of your high school diploma or official transcript.
  6. In Part V, include the original certificate of completion for the concussion and head injury training (Module 15) from the Connecticut Coaching Education Program.
  7. If you do not hold a valid Connecticut educator certificate, complete Part VI by providing the name and date of the coaching course you completed and the institution where it was taken. If you do hold a valid certificate, skip this part.
  8. For renewal applicants, complete Part VII by confirming you have completed the required 15 clock hours of approved seminars or workshops. If applicable, attach verification of the concussion training requirement.
  9. In Part VIII, sign and date the application to attest that all information is accurate and complete.
  10. Finally, review your application and ensure all required documents are attached before submitting it to the Bureau of Educator Standards and Certification.

Obtain Answers on Connecticut Ed 185

  1. What is the Connecticut Ed 185 form?

    The Connecticut Ed 185 form is an application for a Five-Year Renewable Coaching Permit. This permit is required for individuals who wish to coach in Connecticut schools. The form collects personal information, educational background, and proof of required training, such as First Aid and CPR courses.

  2. Who needs to complete this form?

    Anyone who wants to obtain or renew a coaching permit in Connecticut must complete the Ed 185 form. This includes both new applicants and those whose permits are expiring. If you do not hold a valid Connecticut educator certificate, you will need to complete all sections of the form. If you do hold a valid certificate, you will only need to complete specific sections.

  3. What documents must be submitted with the form?

    • A photocopy of your valid Standard First Aid card or original certificate of completion.
    • A photocopy of your valid CPR card or original certificate of completion.
    • A copy of your high school diploma or official transcript.
    • Original certificate of completion for concussion and head injury training (Module 15) from the Connecticut Coaching Education Program.
    • If applicable, verification of completion of an approved coaching course.
  4. What if I have a criminal record?

    If you have ever been convicted of a crime (excluding minor traffic violations), dismissed for cause from a position, or had a professional credential revoked or denied, you must answer "YES" on the form. You will need to attach a signed statement explaining the circumstances and provide official copies of any relevant court or administrative records.

  5. How often do I need to renew the coaching permit?

    The Five-Year Renewable Coaching Permit must be renewed every five years. It is essential to submit your renewal application no sooner than six months before your current permit expires to ensure there is no lapse in your coaching credentials.

  6. What training is required for renewal?

    For renewal, you must have completed at least 15 clock hours of seminars, coursework, or workshops that focus on safe coaching practices and child development. Additionally, you must provide proof of completion of the concussion and head injury training requirement, either the original certificate for courses taken before July 1, 2015, or verification of a refresher course completed after that date.

  7. How can I contact the Bureau of Educator Standards and Certification?

    You can reach the Bureau via email at [email protected] or visit their website at www.ct.gov/sde. For fax inquiries, use 860-713-7017. If you prefer to speak with a staff member, call 860-713-6969 during weekdays between 1-5 p.m.

  8. What happens if I fail to provide all required information?

    Failure to provide complete and accurate information may result in the denial or revocation of your coaching permit. It is crucial to ensure that all sections of the form are filled out correctly and that all required documents are attached before submission.

Common mistakes

Filling out the Connecticut Ed 185 form can be a straightforward process, but many applicants make common mistakes that can delay their application. One frequent error is failing to use the correct ink color. The instructions specify that all information must be printed in blue ink. Using black or any other color can lead to rejection of the application, so it’s crucial to follow this guideline closely.

Another mistake often seen is not providing complete personal information. The form requires applicants to fill out their last name, first name, middle initial, and social security number, among other details. Omitting any of this information can cause processing delays. Make sure every section is filled out completely and accurately.

Many applicants overlook the requirement to attach necessary documentation. For instance, you must include a photocopy of your valid CPR and First Aid cards, as well as your high school diploma or transcript. Failing to provide these documents can result in an incomplete application. Always double-check that all required attachments are included before submission.

Some individuals also mistakenly answer "YES" to the criminal history questions without attaching the required signed statement of explanation. If you have any convictions or disciplinary actions, you must provide a detailed explanation along with official records. Neglecting this step can lead to automatic denial of your application.

Another common error is not signing the application. The form explicitly states that the original signature of the applicant is required. Submitting a form without a signature can lead to immediate rejection, so it’s essential to ensure that you sign it before sending it off.

Finally, many applicants do not pay attention to the timeline for submitting their renewal applications. The instructions recommend submitting the application no sooner than six months before the expiration of your current permit. Ignoring this timeframe can complicate the renewal process. Always keep track of your permit’s expiration date to avoid any lapses in certification.

Documents used along the form

The Connecticut Ed 185 form is essential for individuals seeking a five-year renewable coaching permit. Along with this application, several other documents and forms are often required to ensure that applicants meet all necessary qualifications. Below is a list of common forms and documents that are frequently submitted alongside the Ed 185 form.

  • First Aid Certification: This document verifies that the applicant has completed a standard first aid course within the last three years. A photocopy of the valid first aid card or the original certificate of completion must be attached to the application.
  • CPR Certification: Similar to the first aid certification, this document proves that the applicant has completed a CPR course. The CPR card must be photocopied or the original certificate submitted, and it should also be signed before submission.
  • High School Diploma or Transcript: Applicants must provide proof of their high school education. This can be in the form of a copy of the high school diploma or an official high school transcript that verifies graduation.
  • Concussion and Head Injury Training Certificate: This certificate confirms that the applicant has completed the required training on concussions and head injuries. It must be the original certificate from the Connecticut Coaching Education Program (CCEP) and is necessary for both initial applications and renewals.

Submitting these documents along with the Connecticut Ed 185 form is crucial for a successful application process. Ensuring that all required certifications and proof of education are included will help streamline the review and approval of the coaching permit.

Similar forms

  • Application for Teaching Certification: Similar to the ED 185 form, this application requires personal information, proof of educational qualifications, and background checks. Both documents aim to ensure that applicants meet the necessary standards for their roles in education.

  • CPR Certification Form: Like the ED 185, this form verifies that the applicant has completed a CPR course. Both documents require proof of training, emphasizing the importance of safety in coaching and educational environments.

  • First Aid Certification Form: This document is similar as it also requires proof of completing a first aid course. Both forms stress the necessity of these certifications for individuals working in roles that involve student safety.

  • Background Check Authorization Form: This form is comparable because it collects personal information for conducting criminal history checks. Both the ED 185 and this form are designed to protect students by ensuring that only qualified individuals are allowed to work with them.

  • Concussion Training Certificate: This certificate is required for both the ED 185 and other coaching-related applications. Both documents highlight the need for training in recognizing and managing concussions, ensuring the health and safety of athletes.

  • Professional Development Verification Form: Similar to the ED 185, this form documents completion of required professional development hours. Both emphasize the importance of ongoing education and training for maintaining qualifications in coaching and teaching roles.

Dos and Don'ts

When filling out the Connecticut Ed 185 form, there are important guidelines to follow. Here are some dos and don'ts to help ensure your application is completed correctly.

  • Do print all information in blue ink and in uppercase letters.
  • Do sign your first aid and CPR cards before submitting photocopies.
  • Do attach all required documents, such as your high school diploma or transcripts.
  • Do provide a signed statement of explanation if you answer "YES" to any criminal history questions.
  • Do ensure that your first aid and CPR courses were completed within the required time frame.
  • Don't leave any sections of the application blank; fill out all required parts.
  • Don't submit unofficial copies of your documents; make sure they are official.
  • Don't forget to include your original signature on the application.
  • Don't submit verification of the required 15 clock hours of seminars with your application.

Following these guidelines will help streamline the processing of your application. Take your time to review each section carefully.

Misconceptions

Misconceptions about the Connecticut Ed 185 form can lead to confusion and delays in obtaining the necessary coaching permit. Here are nine common misconceptions clarified:

  • Only teachers need to fill out the Ed 185 form. Many believe that only certified teachers must apply. However, this form is for anyone seeking a coaching permit, regardless of their teaching status.
  • The Ed 185 form is only for new applicants. Some think this form is exclusively for first-time applicants. In reality, it is also used for renewing existing coaching permits.
  • All required documents must be submitted at once. Many applicants feel pressured to gather all documents before submission. While it is advisable to submit everything together, applicants can submit documents as they are completed.
  • Completing the first aid and CPR courses is optional. Some individuals assume these courses are not mandatory. In fact, completion of both courses is required for the application process.
  • Providing a social security number is not necessary. Some applicants believe they can skip this step. However, the social security number is a crucial part of the application for identification purposes.
  • There is no age requirement to apply. A misconception exists that age does not matter. Applicants must be at least 18 years old to apply for the coaching permit.
  • Past criminal convictions automatically disqualify an applicant. Many fear that any criminal record will lead to denial. While applicants must disclose convictions, each case is reviewed individually.
  • Only specific courses are accepted for the coaching requirement. Some believe that only certain institutions are valid. However, as long as the course meets state requirements, it can be accepted.
  • Once submitted, the application cannot be changed. Some think that any errors made in the application cannot be corrected. In fact, applicants can submit corrections or additional information as needed.

Understanding these misconceptions can help streamline the application process and ensure that all necessary steps are taken for a successful coaching permit application.

Key takeaways

  • Fill out the form in blue ink. Use uppercase letters for all information to ensure clarity.
  • Provide your social security number and contact details. This includes your phone number and email address, which is optional.
  • Be honest about your background. Answer all questions regarding any past convictions or professional issues truthfully.
  • Complete required courses. Attach proof of your First Aid and CPR certifications. These must be current and signed.
  • Include your high school diploma or transcript. This is necessary to verify your educational background.
  • Submit your concussion training certificate. This is a requirement for coaching in Connecticut.
  • Check your application for completeness. Ensure all parts are filled out and all necessary documents are attached before submission.