Homepage Blank Georgia Psc Employer Assurance Form
Outline

The Georgia PSC Employer Assurance Form plays a crucial role in the certification process for educators in the state. This form is essential for verifying an applicant's current employment status as a Georgia educator. It requires detailed information about the applicant, including their name, date of birth, and GaPSC Certification ID number. Employers must complete sections regarding employment verification, ensuring that all necessary background checks have been conducted and that any violations of the Georgia Code of Ethics for Educators have been reported. The form also allows employers to request various transactions on behalf of the applicant, such as the issuance of a first GA certificate or the renewal of an existing one. Employers, including public and private school systems, must submit this form electronically through the appropriate channels, ensuring a smooth process for educators seeking certification. By fulfilling these requirements, employers not only support their staff but also contribute to maintaining high standards in Georgia's educational system.

Sample - Georgia Psc Employer Assurance Form

Georgia PSC Employer Assurance Form – Revised June 2021

DO NOT MAIL!

Public School Employer: Must submit electronic form through www.gapsc.org account

All other GA Employers may complete the form for applicant to upload via MyPSC

This form is to be used to verify current employment as a Georgia educator.

1. Applicant Information

 

 

 

 

 

 

 

Please use dark ink.

 

Title

 

 

Last Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mr. Ms.

Dr.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

First Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Middle Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

GaPSC Certification ID Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date of Birth (MM/DD/YY)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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Sections 2, 3, & 4 must be completed by the employer.

2. Employment Verification:

In submitting this form, I certify that all required background checks have been completed for this applicant and any violations of the Georgia Code of Ethics for Educators have been reported to the GaPSC. I also certify that the applicant is/will be working within the local unit of administration (LUA) I represent in a position requiring GaPSC certification and that the applicant is/will be employed by the LUA or by an outside agency contracted by the LUA to provide staffing or educational services.

Employment is in the certification field of :

Employment in this certificate field began on:

/

(MM/DD/YY)

/

3. Transaction Request:

I am requesting the following transaction(s) on behalf of the applicant listed above (check all that apply):

First GA certificate (applicant holds professional out-of- state certificate)

Renewal- A PLP/PLG has been established and the educator is making adequate progress toward meeting the plan/goals?

Yes No Addition of a new field

Conversion or Extension

Upgrade

Montessori certificate Educational Interpreter

Non-Renewable type certificate and field:

 

Field Code:

 

 

(see reverse)

Non-Renewable Types: Induction, International Exchange, Military Support, Permit, Provisional, or Waiver

Other unlisted transaction (please specify):

4. Employer Information:

Name of Superintendent or authorized designee (print/type)

 

Signature (eSignature not accepted)

 

 

 

 

 

 

 

Title

 

 

Date

 

 

 

 

 

Phone Number

Email Address

 

Name of Local Unit of Administration (School System / Agency / Private School / Institution)

Initial if applicable: __________ This is a virtual school based outside of Georgia. I certify that the applicant listed above will be working with Georgia students.

EMPLOYER ASSURANCE FORM INSTRUCTIONS – Revised June 2021

Note: Please complete all forms legibly in black ink or type.

The Georgia PSC Employer Assurance Form should accompany all applications for certification when the applicant is employed or will be employed by a Georgia public or private school system/agency. When possible, this form should be submitted electronically through the employer’s account on

www.gapsc.org. This form is used for the following:

To verify that the applicant is currently employed or will be employed in the listed system/agency and all required background checks have been completed;

To exempt the applicant from the certification fee in some cases; and

To request a Permit, International Exchange, Waiver, or non-renewable type certificate.

CERTIFICATE FIELD CODES

TEACHING FIELDS

Elementary Fields

Birth Through Kindergarten 870

Elementary Education (P-5) 808

SpEd Gen Curriculum/Elementary Education (P-5)

708

Middle Grades (4-8):

Language Arts - 853

Mathematics - 851

Reading - 855

Science - 852

Social Science - 854

Secondary Fields (6-12)

Agriculture788

Behavioral Science 766

Biology 750

Business 783

Chemistry 752

Earth/Space Science 753

Economics 757

Engineering and Technology 769

English 730

Family/Consumer Science 790

Geography 759

Healthcare Science 619

History 755

JROTC: Air Force 643

JROTC: Army 641

JROTC: Marine Corps 644

JROTC: Navy 642

Marketing 792

Mathematics 743

Physics 751

Political Science 756

Science (Broad Field) 748

Speech 733

Trade & Industrial Education:

Architectural Drawing and Design 658

Audio/Video Technology & Film 652

Automotive Service Tech 650

Aviation 830

Barbering 613

Collision Repair 653

Computer Animation 678

Construction - 656

Cosmetology 525

Culinary Arts - 669

Distribution & Logistics654

Electronics Technology 657

Esthetics 614

Government & Public Administration680

Granite Technology 659

Graphic Communications & Design 660

IT/Info Services & Support 662

IT/Network Systems - 663

IT/Programming & Software Dev. 664

IT/Cybersecurity 676

Manufacturing & Engineering Sciences 667

Marine Service Technology 618

Nails 615

Precision Machine Technology 668

Law, Public Safety, Corrections & Security 670

Sheet Metal 671

Welding Technology 673

Foreign Languages (P-12)

American Sign Lang.

832

Arabic

845

Chinese (Mandarin)

834

Farsi

848

French

836

German

838

Greek (Classical)

842

Hebrew

841

Hindi

843

Italian

840

Japanese

831

Korean

846

Latin

835

Portuguese

844

Russian

839

Spanish

837

Swahili

847

Turkish

850

Urdu

849

Special Education (P-12) Consultative Sp Ed Adapted Curriculum 805 Behavior Disorders 778

Deaf Education 797

Sp Ed General Curriculum 798

SpEd General Curriculum/Elementary Education (P-5 only) 708

Learning Disabilities 777 Physical & Health Disabilities 768 Sp Ed Preschool (ages 3-5) 799 Visual Impairment 722

Sp Ed Academic Content Concentrations:

 

P-5

4-8

6-12

Language Arts

930

931

932

Mathematics

910

911

912

Reading

950

951

952

Science

920

921

922

Social Science

940

941

942

P-12 Fields

Art 764

Computer Science 789

Dance 820

Drama 821

Eng. To Speakers of Other Lang. (ESOL) 885

Gifted (P-12) Consultative 780

Gifted Concentrations:

Language Arts 963

Mathematics 961

Reading 965

Science 962

Social Science 964

Health Education - 760

Health and Physical Education 761

Music 767

Reading 732

SERVICE FIELDS (P-12)

Audiology 801

Media Specialist 813

School Counseling - 709

School Nutrition Director 729

School Psychology711

School Social Work 715

Speech and Language Pathology 802

Curriculum & Instruction 902

Instructional Technology 903

Teacher Leadership 904

LEADERSHIP FIELDS (P-12)

Educational Leadership-Tier I --700

Educational Leadership- Tier II -- 710

ENDORSEMENTS

Teaching Endorsements: Agriculture Education (P-5) 892 Autism 877

Birth Through Five 871

Career Exploration (PECE) 749 Career Technical Instruction (CTI) 810 Coaching Endorsement 980 Computer Science 882

Coordinated Career Academic Ed (CCAE) -770 Culinary Arts 884

Dramatic Writing Micro-Endorsement 350 Dual Immersion Elementary Education 863 ESOL 825

Gifted In-Field 881 Intervention Specialist 887 K-5 Mathematics 970 K-5 Science 971 Middle Grades859 On-Line Teaching 898 Personalized Learning 889

Positive Behavior Intervention and Supports (PBIS) 189

Reading 833

Safety & Driver Education 763 Sp Ed Deaf Education 874

Sp Ed Physical & Health Disabilities 875 Sp Ed Preschool (ages 3-5) 826

Sp Ed Transition Specialist 873

Sp Ed Visual Impairment 876 STEM Education 186 Urban Education 891 Work-Based Learning 793

Service Endorsements:

Student Support Team Coordinator 888 Teacher Support and Coaching 712

Leadership Endorsements:

Teacher Leader 774

Form Information

Fact Name Details
Purpose of the Form This form is used to verify current employment as a Georgia educator and to ensure that all required background checks have been completed.
Submission Method Public school employers must submit the form electronically through their www.gapsc.org account. Other Georgia employers can complete the form for the applicant to upload via MyPSC.
Governing Laws The form is governed by the Georgia Code of Ethics for Educators and the regulations set forth by the Georgia Professional Standards Commission (GaPSC).
Completion Requirements Sections 2, 3, and 4 of the form must be completed by the employer. It is essential to use dark ink for legibility.
Certification Fee Exemption In certain cases, this form can exempt the applicant from the certification fee, depending on the specific transaction requested.

Detailed Guide for Filling Out Georgia Psc Employer Assurance

Completing the Georgia PSC Employer Assurance Form is essential for verifying an applicant's employment as an educator in Georgia. The process involves filling out specific sections of the form to ensure that all necessary information is accurately provided. Follow the steps outlined below to complete the form correctly.

  1. Gather the required information before starting. This includes the applicant's full name, GaPSC Certification ID Number, and date of birth.
  2. Use dark ink to fill out the form. Start with the Applicant Information section:
    • Indicate the title (Mr., Ms., Dr.)
    • Enter the last name, first name, and middle name.
    • Provide the GaPSC Certification ID Number.
    • Fill in the date of birth in MM/DD/YY format.
  3. Proceed to the Employment Verification section. The employer must complete this part:
    • Certify that all required background checks have been completed.
    • Confirm any violations of the Georgia Code of Ethics for Educators have been reported to the GaPSC.
    • State that the applicant is/will be employed in a position requiring GaPSC certification.
    • Indicate the certification field and the start date of employment in MM/DD/YY format.
  4. In the Transaction Request section, check all applicable transactions on behalf of the applicant:
    • First GA certificate
    • Renewal
    • Addition of a new field
    • Conversion or Extension
    • Upgrade
    • Montessori certificate
    • Educational Interpreter
    • Non-Renewable type certificate
    • Other unlisted transaction (specify)
  5. Complete the Employer Information section:
    • Print or type the name of the Superintendent or authorized designee.
    • Sign the form (eSignature is not accepted).
    • Provide the title, date, phone number, and email address.
    • State the name of the Local Unit of Administration (School System / Agency / Private School / Institution).
    • If applicable, initial to confirm that the applicant will be working with Georgia students.

After completing the form, ensure all information is accurate and legible. The form should be submitted electronically through the appropriate channels, as specified in the instructions. This step is crucial for processing the applicant's certification efficiently.

Obtain Answers on Georgia Psc Employer Assurance

  1. What is the purpose of the Georgia PSC Employer Assurance Form?

    This form is used to verify the current employment status of an applicant seeking certification as a Georgia educator. It confirms that all necessary background checks have been completed and that any violations of the Georgia Code of Ethics for Educators have been reported. Additionally, it can exempt the applicant from certification fees in certain cases.

  2. Who is required to submit this form?

    The form must be submitted by public school employers through their account on www.gapsc.org. Other Georgia employers may complete the form for the applicant to upload via MyPSC. This ensures that the application process is streamlined for all parties involved.

  3. What information is needed from the applicant?

    Applicants must provide their personal details, including:

    • Title (Mr., Ms., Dr.)
    • Last Name
    • First Name
    • Middle Name
    • GaPSC Certification ID Number
    • Date of Birth (MM/DD/YY)
  4. What does the employer need to verify?

    Employers must certify that:

    • All required background checks for the applicant have been completed.
    • Any violations of the Georgia Code of Ethics for Educators have been reported.
    • The applicant will be working in a position that requires GaPSC certification.
  5. How can employers submit the form?

    Employers should complete the form electronically through their account on www.gapsc.org. It is important to note that this form should not be mailed. If the employer is from a private school or agency, they can complete the form for the applicant to upload via MyPSC.

  6. What happens if the form is not completed correctly?

    If the form is not filled out legibly or completely, it may delay the certification process. All sections must be completed accurately to ensure that the application is processed without issues. Employers are encouraged to double-check all entries before submission.

Common mistakes

Filling out the Georgia PSC Employer Assurance form can be a straightforward process, but there are common mistakes that applicants and employers should avoid. One frequent error is using the wrong ink color. The instructions specify that all forms must be completed in dark ink. Submitting a form filled out in a color other than black can lead to processing delays.

Another mistake involves incomplete sections. Sections 2, 3, and 4 must be filled out by the employer. Omitting any required information in these sections can result in the form being rejected. Employers should ensure that all necessary details, such as the applicant's employment verification and transaction requests, are thoroughly completed.

Incorrectly identifying the certification field is also a common issue. The form requires that the employer specify the certification field in which the applicant will be employed. Failing to use the correct field code can cause confusion and delay the certification process. Employers should carefully consult the list of certificate field codes provided in the form.

Additionally, some individuals neglect to include the required signature from the superintendent or authorized designee. An eSignature is not accepted, so it is crucial to provide a handwritten signature. Without this signature, the form cannot be processed, which can hinder the applicant's certification progress.

Finally, applicants often overlook the submission method. The form should not be mailed; instead, it must be submitted electronically through the appropriate channels. This can lead to significant delays if the form is mailed instead of uploaded as instructed. Adhering to the submission guidelines is essential for timely processing.

Documents used along the form

The Georgia PSC Employer Assurance Form is a crucial document for verifying an educator's employment status in Georgia. Alongside this form, several other documents are often required to ensure a smooth certification process. Below is a list of these important forms, each serving a unique purpose in the certification journey.

  • GaPSC Certification Application: This is the primary application form that individuals must complete to apply for certification. It collects essential personal and professional information, including educational history and certification goals.
  • Background Check Authorization Form: This document authorizes the Georgia Professional Standards Commission to conduct a background check on the applicant. It is a necessary step to ensure the safety and integrity of educational environments.
  • Official Transcripts: Applicants must submit official transcripts from all post-secondary institutions attended. These transcripts verify the educational qualifications needed for certification.
  • Proof of Test Scores: Many certification areas require passing scores on specific exams. This document serves as evidence of the applicant's competency in the subject matter.
  • Verification of Experience Form: This form details the applicant's previous teaching experience, including the duration and nature of employment. It is essential for applicants seeking to upgrade or renew their certification.
  • Professional Development Documentation: Applicants may need to provide proof of completed professional development activities. This can include workshops, courses, or conferences that contribute to their ongoing education.
  • Reciprocity Application (if applicable): For educators coming from other states, this application facilitates the transfer of certification from one state to another, ensuring that their credentials are recognized in Georgia.
  • Endorsement Request Form: If an applicant seeks to add an endorsement to their existing certification, this form is necessary to outline the specific endorsement sought and the qualifications for it.
  • Employment Contract: A copy of the employment contract may be required to confirm the applicant's position within the educational institution, detailing their role and responsibilities.

Each of these documents plays a vital role in the certification process for educators in Georgia. Ensuring that all forms are completed accurately and submitted on time will help facilitate a smoother transition into the teaching profession.

Similar forms

  • Employment Verification Letter: Similar to the Georgia PSC Employer Assurance Form, this document confirms an individual's current employment status. It often includes details about the position held and the duration of employment.
  • Background Check Authorization Form: This form allows employers to conduct background checks on potential employees. Like the Employer Assurance Form, it ensures that the necessary checks are completed before employment.
  • Certification Verification Form: Used to verify an applicant's teaching certification, this form parallels the Employer Assurance Form by confirming that the applicant meets the necessary qualifications for their role.
  • Job Offer Letter: This letter outlines the terms of employment, including position, salary, and start date. It serves a similar purpose by formalizing the employment relationship, much like the assurance provided by the Employer Assurance Form.
  • Professional Reference Letter: This document provides a reference for an applicant's qualifications and character. It aligns with the Employer Assurance Form in that it supports the applicant's credentials for employment.
  • Contract for Employment: A legally binding agreement between an employer and employee, this document specifies job responsibilities and terms. It is similar to the Employer Assurance Form in that it confirms the employment relationship and expectations.
  • Teaching Credential Application: This application is submitted to obtain a teaching credential. It shares similarities with the Employer Assurance Form by requiring verification of qualifications and employment status.
  • Endorsement Application: Like the Employer Assurance Form, this document requests additional qualifications or endorsements for educators, ensuring that all necessary background information is provided.
  • Internship Verification Form: This form confirms an intern's participation in a program and the completion of required tasks. It is similar to the Employer Assurance Form in that it verifies the applicant's involvement in an educational setting.
  • State Certification Application: This application is used to apply for state certification in teaching. It parallels the Employer Assurance Form by requiring verification of employment and background checks.

Dos and Don'ts

When filling out the Georgia PSC Employer Assurance form, there are some important dos and don'ts to keep in mind. Following these guidelines will help ensure that the form is completed correctly and efficiently.

  • Do use dark ink or type the information clearly.
  • Do ensure that all required sections are completed by the employer.
  • Do submit the form electronically through the appropriate platform when possible.
  • Do verify that all background checks for the applicant have been completed.
  • Don't mail the form; it must be submitted electronically.
  • Don't leave any sections blank; complete all required fields.
  • Don't use an eSignature; a handwritten signature is required.
  • Don't forget to include the correct contact information for the employer.

Misconceptions

  • Misconception 1: The form can be mailed to the Georgia PSC.
  • This is incorrect. The Georgia PSC Employer Assurance form must be submitted electronically through the employer’s account on www.gapsc.org. Mailing the form will not be accepted.

  • Misconception 2: Only public school employers need to complete this form.
  • All Georgia employers can complete the form for applicants. Private schools and agencies also have the option to use the form for applicants to upload via MyPSC.

  • Misconception 3: The form is only for current employees.
  • The form can be used to verify both current employment and future employment. It is applicable for applicants who are currently employed or will be employed in the future.

  • Misconception 4: Background checks are optional for the employer.
  • Background checks are mandatory. By submitting the form, the employer certifies that all required background checks have been completed for the applicant.

  • Misconception 5: An electronic signature is acceptable on the form.
  • This is false. The form requires a handwritten signature. An electronic signature will not be accepted.

  • Misconception 6: The form is only for teacher certification.
  • The Georgia PSC Employer Assurance form is used for various transactions, including requests for permits, waivers, and non-renewable certificates. It is not limited to teacher certification alone.

Key takeaways

Filling out the Georgia PSC Employer Assurance form is an important step in the certification process for educators in Georgia. Here are some key takeaways to consider:

  • Submission Method: Public school employers must submit the form electronically through their account on www.gapsc.org. Other Georgia employers can complete the form for the applicant to upload via MyPSC.
  • Employer Responsibilities: Employers must certify that all required background checks have been completed for the applicant and report any violations of the Georgia Code of Ethics for Educators.
  • Transaction Requests: The form allows employers to request various transactions on behalf of the applicant, such as a first GA certificate, renewal, or addition of a new field. It is crucial to check all applicable boxes.
  • Legibility Matters: It is essential to complete the form legibly in black ink or type to ensure clarity and avoid processing delays.
  • Certification Fee Exemption: In some cases, this form can exempt the applicant from the certification fee, making it a valuable document for both employers and applicants.