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The Oregon TSPC C-1 form is a crucial document for individuals seeking to obtain or renew an educator license or registration in the state of Oregon. This application requires applicants to provide essential personal information, including their full legal name, contact details, and Social Security Number, which is necessary for child support enforcement and tax collection purposes. Applicants must also disclose their educational background, detailing any degrees earned and educator programs completed. The form includes sections for applicants to outline their professional experience in education over the past five years, whether as a teacher, counselor, or administrator. Furthermore, it emphasizes the importance of professionalism in the education sector, urging applicants to adhere to ethical standards that prioritize the welfare of students and maintain integrity in their professional conduct. Additionally, the form contains character questions that must be answered truthfully, as providing false information can lead to serious consequences, including denial of the application or revocation of an existing license. Completing the TSPC C-1 form accurately and thoroughly is essential for aspiring educators to ensure compliance with state regulations and to facilitate a smooth licensing process.

Sample - Oregon Tspc C 1 Form

Teacher Standards and Practices Commission

250

Division St NE

 

Salem, OR 97301

Email: [email protected]

Phone (503) 378-3586;

 

Fax

(503) 378-4448

Web Site: www.oregon.gov/tspc

Application for Educator License or Registration – Form C-1

Before completing this form please read the instructions carefully. Once complete, sign the application, attesting to the accuracy of information provided. Providing false information on your application is grounds for the Commission to deny your application or revoke your license or registration.

Please write legibly and use black or blue ink. Please be sure to provide your full legal name.

LAST NAME

FIRST NAME

MIDDLE NAME

PREVIOUS

 

 

 

 

 

 

 

 

Current Mailing Address

Check this box if new address City, State and Postal Code

Male

Female

Home/Cell phone number Work phone number

Date of Birth

Gender

 

 

 

 

 

 

 

 

Social Security Number

E-mail Address

As part of your application for an initial or renewed license or registration, you are required to provide your Social Security Number (SSN) for purposes of child support enforcement (ORS 25.785 and 42 USC § 666(a)(13)) and state income tax collection (ORS 305.385 and 42 USC § 405(c)(2)(C)(i)).

The Commission may also disclose your SSN to the interstate clearinghouse for educators if your Oregon license or registration is subject to discipline for unprofessional conduct (ORS 342.143 and 342.175 to 190).

Ethnic and Race Status: (Optional - for statistical purposes only)

1.

Which race or ethnicity best describes you?

(You may check more than one)

 

American Indian or Alaska Native

Asian

Black or African American

 

Hispanic or Latino or other Spanish Origin

 

Native Hawaiian or Other Pacific Islander

 

Multi-ethnic

White

Other

 

 

 

2.

If you checked above that you are an American Indian, please check here if you are a

 

member of one of the nine recognized tribes in Oregon.

3.

Is English your first language?

Yes

No

Previous Educational Licenses, Registrations, and Certifications: (Required information)

1.Have you held any type of Oregon educational license previously? Yes No

2.Have you held any license valid for full-time educational work (to include substitute teaching) in another state? Yes No

3.If yes to #2, in which other state or states are/were you licensed? ______________________

4.When did you receive your first unrestricted license in another state? _________________

5.Under what name(s) (in Oregon or another state) were you previously licensed? __________________

PURPOSE FOR FILLING OUT THIS APPLICATION

Apply for new type of license (administrator, counselor, etc.): _______________________________

Add endorsement(s): _____________________________

Reinstate an expired license: _________________________________

Renew an existing license: _______________________________

Charter School Registration:

First time application or

Renewal

 

Teacher or

Administrator

Other: ______________________________

 

 

ACADEMIC DEGREES & EDUCATOR PROGRAMS COMPLETED

List all institutions from which you have earned a degree, unless already on file with TSPC. Also list all teacher, counselor, psychologist, or administrator programs you have completed, regardless of any connection to a degree. If you have not yet completed a degree or educator licensure program, please state “NONE.”

1.______________________________ ___________________________ ___________________________ ________________________

College or University

City & State

Major/Program

Degree earned (BS, MAT, etc.)

2.______________________________ ___________________________ ___________________________ ________________________

College or University

City & State

Major/Program

Degree earned (BS, MAT, etc.)

3.______________________________ ___________________________ ___________________________ ________________________

College or University

City & State

Major/Program

Degree earned (BS, MAT, etc.)

4.______________________________ ___________________________ ___________________________ ________________________

College or University

City & State

Major/Program

Degree earned (BS, MAT, etc.)

5.______________________________ ___________________________ ___________________________ ________________________

College or University

City & State

Major/Program

Degree earned (BS, MAT, etc.)

Please Note: For some license applications, you will be required to submit official transcripts to verify coursework. Please see renewal and application instructions for individual licenses to determine what you need to submit.

EXPERIENCE AS PROFESSIONAL EDUCATOR

List all of your employment experience in the last five years as a teacher, school counselor, psychologist, social worker or administrator to TSPC. If none, state “NONE”. If you worked as a substitute (full or restricted), please indicate.

Dates

Name of School

City & State

Grade

Contracted

Substitute

From:

To:

 

Level(s)

½ time or more?

experience?

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Yes

No

Statement of Professionalism

Adopted by the Oregon Teacher Standards and Practices Commission on

April 25, 2013

As educators, we belong to a profession that serves Oregon K-12 students, schools, our communities and the public good. We aspire to a professional standard of conduct that goes beyond merely complying with ethical rules. Professionalism is the courage to care about and act for the benefit of our children, our students, our peers, our careers and the public good.

Because we are committed to professionalism, we will conduct ourselves in a way consistent with the following principles in dealing with our students, our peers, our supervisors, and the public.

Specifically, I will:

Attest to all that I have good moral character.

Put the welfare of children first and will do no physical or emotional harm to a child.

Conduct myself with integrity.

Avoid all forms of discrimination against my students and all others.

Commit to academic equity in learning for all of my students.

Commit to educational excellence in all I do.

Respect my colleagues.

Commit to lifelong professional development to improve my skills and the opportunities for my students and the profession.

Resolve disputes with students with compassion, empathy and patience.

Be a role model for my students.

Never violate the student-educator boundaries critical for student achievement and success.

I hereby certify that the information submitted on or relating to this form is true and correct and grant the Commission permission to check civil or criminal records to verify any statement made on this application.

_________________________________________

_____________________________

Signature of Applicant/Educator

Date

_________________________________________

 

Printed Signature

 

CHARACTER QUESTIONS

Please carefully read the “Instructions for Answering Character Questions” before answering. You must answer either “yes” or “no” to each of the following questions; any other response will result in your application being considered incomplete. All "yes" answers must be fully explained in writing on a separate piece of paper and the explanations must be signed and dated by you. You must also include certified true copies of all legal documents, including court records.

1.

Have you ever left any educational or school-related employment, voluntarily or involuntarily, while

 

 

the subject of an inquiry, review or investigation of alleged misconduct? Have you ever left

1.

 

educational or school-related employment when you had reason to believe an investigation for

 

 

 

misconduct was underway or imminent?

 

 

 

 

2.

Are you currently the subject of an inquiry, review or investigation for alleged misconduct or

 

 

alleged violation of professional standards of conduct by either an employer or a licensure

2.

 

agency?

 

3.

Have you ever been placed on leave by your employer for any alleged misconduct?

3.

 

 

 

4.

Have you ever had any adverse action taken on a professional certificate, license or charter

 

 

school registration? Have you ever been placed on probationary status for alleged misconduct

4.

 

while holding a professional license, certificate, registration, or credential?

 

 

 

 

5.

Have you ever been denied any professional license for which you applied or granted a

 

 

professional license on a conditional or probationary basis for any alleged misconduct?

5.

 

 

 

6.

Have you ever surrendered a professional license of any kind before its expiration?

6.

 

 

 

7.

Have you ever been disciplined by any public agency responsible for licensure of any kind,

7.

 

including but not limited to educational licensure?

 

 

 

 

 

8.

Have you ever been convicted or been granted a diversion or conditional discharge by any court

 

 

for any: (a) Felony; or (b) Misdemeanor; or (c) Major traffic violation including but not limited to:

 

 

driving under the influence of intoxicants or drugs; reckless driving; fleeing from or attempting to

8.

 

elude a police officer; driving while your license was suspended, revoked or used in violation of

 

 

any license restriction; or failure to perform the duties of a driver or witness at an accident?

 

 

 

 

9.

Have you ever been arrested or cited for any offense listed in section (8) above which is still

 

 

pending in the courts? This includes any diversion, conditional discharge or postponed

9.

 

adjudication that has not been dismissed by the courts at the time this application is signed.

 

 

 

 

10. Have you ever had any civil judgment or other court order, including but not limited to a restraining

 

 

order, entered against you resulting from allegations of abuse, assault, battery, harassment,

10.

 

intimidation, neglect, stalking, or other threatening behavior toward other persons?

 

 

 

 

Check here if you provided an explanation for any “yes” answer with a prior application. Please know that any new incident that occurred since your last application requires that you answer “yes” and include a full written explanation, along with applicable court documents.

Your Signature and the Date: Under penalty of false swearing, I declare that the information in this application is true, correct, and complete. Providing false information is grounds for the Commission to deny my application or revoke my license or registration. I also grant the Commission permission to check civil or criminal records to verify any statement made on this application.

Signature of the Applicant

Date*

*This application must be signed and dated within 60 days prior to the date the application is received by TSPC.

YOU MUST PRINT AND MAIL THIS FORM DIRECTLY TO: TSPC

250 Division St. NE

Salem, Oregon 97301

Form Information

Fact Name Description
Purpose The Oregon TSPC C-1 form is used to apply for an educator license or registration in Oregon. It covers initial applications, renewals, and reinstatements.
Governing Laws The application process is governed by Oregon Revised Statutes (ORS) 342.143, ORS 25.785, and ORS 305.385, as well as federal law 42 USC § 666(a)(13).
Required Information Applicants must provide personal details, including their Social Security Number, to facilitate child support enforcement and state income tax collection.
Professional Experience The form requires a detailed account of the applicant's professional experience over the last five years, including any substitute teaching roles.
Character Questions Applicants must answer specific character questions regarding past employment and legal issues. Any affirmative answers require detailed explanations and supporting documentation.

Detailed Guide for Filling Out Oregon Tspc C 1

Filling out the Oregon TSPC C-1 form requires careful attention to detail. Make sure all information is accurate and complete before submitting the form. After you fill it out, you will need to sign it, confirming that the information you provided is true. Inaccurate information can lead to the denial or revocation of your application.

  1. Begin by writing your full legal name in the designated fields for last name, first name, and middle name.
  2. If your mailing address has changed, check the box indicating a new address and provide your current mailing address, including city, state, and postal code.
  3. Fill in your phone numbers for home/cell and work, and provide your date of birth.
  4. Indicate your gender and provide your Social Security Number as required.
  5. Complete the optional section regarding ethnic and race status by selecting the options that apply to you.
  6. Answer the questions regarding any previous educational licenses, registrations, and certifications. Indicate whether you have held any type of Oregon educational license or a license from another state.
  7. Specify the purpose for filling out the application by selecting the appropriate options for your situation.
  8. List all academic degrees and educator programs you have completed, including the name of the institution, city and state, major/program, and degree earned.
  9. Detail your employment experience in the last five years, including the name of the school, city and state, dates of employment, and whether you worked as a contracted or substitute educator.
  10. Review and acknowledge the Statement of Professionalism by signing and dating the application.
  11. Answer the character questions with either "yes" or "no." Ensure that you provide explanations for any "yes" answers on a separate piece of paper.
  12. Finally, sign and date the application, ensuring that the signature is dated within 60 days of submission.

Once completed, print the form and mail it directly to the Teacher Standards and Practices Commission at the address provided on the form. Ensure that you keep a copy for your records.

Obtain Answers on Oregon Tspc C 1

  1. What is the purpose of the Oregon TSPC C-1 form?

    The Oregon TSPC C-1 form is used to apply for an educator license or registration in the state of Oregon. This includes new licenses, renewals, reinstatements, and charter school registrations. It is essential for educators who wish to work in Oregon schools.

  2. What information do I need to provide on the form?

    You will need to fill out your full legal name, mailing address, contact information, date of birth, and Social Security Number. Additionally, you must provide details about your previous educational licenses, academic degrees, and work experience in education. Make sure to write clearly and use black or blue ink.

  3. Why is my Social Security Number required?

    Your Social Security Number (SSN) is required for two main reasons: child support enforcement and state income tax collection. The Teacher Standards and Practices Commission (TSPC) may also share your SSN with other states if your license is under review for any disciplinary actions.

  4. What happens if I provide false information on the application?

    Providing false information can lead to serious consequences. The TSPC may deny your application or revoke your existing license or registration. It is crucial to ensure that all information is accurate and truthful.

  5. Do I need to submit official transcripts?

    Yes, for some license applications, you will be required to submit official transcripts to verify your coursework. Check the specific renewal and application instructions for your license type to know what documents you need to include.

  6. What should I do if I have had previous misconduct?

    If you have ever been involved in misconduct, you must answer "yes" to the relevant questions on the form. You will need to provide a detailed explanation on a separate piece of paper, along with certified copies of any legal documents related to the situation. Transparency is key in these cases.

Common mistakes

Completing the Oregon TSPC C-1 form can be a straightforward process if approached with care. However, there are common mistakes that applicants often make, which can lead to delays or complications in the licensing process.

One frequent error is not reading the instructions thoroughly before starting the application. The form contains specific guidelines that must be followed. Ignoring these can result in incomplete submissions. For example, applicants may forget to provide their full legal name or fail to check the box indicating a new address, which can lead to miscommunication.

Another common mistake is using the wrong ink color. The instructions specify that applicants should use black or blue ink only. Using any other color can make the form difficult to read and may cause issues with processing.

Providing incorrect or incomplete Social Security Numbers is also a significant error. The form requires this information for various legal reasons, including child support enforcement. If the SSN is incorrect, it may lead to complications in verifying the applicant’s identity.

Additionally, applicants often overlook the section regarding previous educational licenses. Failing to disclose any past licenses, even if expired, can raise red flags during the review process. It is crucial to answer all questions honestly and completely.

Another mistake is neglecting to sign and date the application. This step is essential, as the application is not considered valid without a signature. Additionally, the signature must be dated within 60 days of submission, which is often misunderstood.

Many applicants also forget to provide explanations for any "yes" answers in the character questions section. This oversight can lead to an incomplete application, as all affirmative responses require detailed explanations and supporting documents.

Lastly, failing to submit the application to the correct address can cause significant delays. Applicants must ensure they send the completed form directly to the TSPC office in Salem, Oregon. Double-checking the mailing address can help avoid unnecessary setbacks in the application process.

Documents used along the form

The Oregon TSPC C-1 form is an essential document for individuals seeking educator licenses or registrations. Alongside this form, several other documents are commonly required to ensure a comprehensive application process. Below is a list of these documents, each with a brief description of its purpose.

  • Official Transcripts: These documents verify the educational qualifications of the applicant, detailing the degrees earned and courses completed. They must come directly from the issuing institution.
  • Background Check Authorization: This form allows the Teacher Standards and Practices Commission (TSPC) to conduct a criminal background check on the applicant, which is a standard procedure for all educators.
  • Proof of Professional Experience: A detailed account of previous employment as an educator, including dates, positions held, and the nature of the work. This helps establish the applicant's qualifications and experience in the field.
  • Character Reference Letters: Letters from colleagues or supervisors that attest to the applicant's professional conduct and character. These references can provide insight into the applicant's suitability for an educator role.
  • Endorsement Forms: If the applicant is seeking additional endorsements or certifications, specific forms must be completed to indicate the desired areas of expertise.
  • Application Fee Payment: Proof of payment for the application fee, which is necessary for processing the application. This fee varies depending on the type of license or registration being sought.
  • Personal Statement: A narrative from the applicant outlining their philosophy of education, teaching experiences, and reasons for pursuing a license. This helps the TSPC understand the applicant's motivations and goals.

Submitting these documents along with the Oregon TSPC C-1 form can streamline the application process and increase the likelihood of a successful outcome. Ensure all materials are complete and accurate to avoid delays in processing.

Similar forms

The Oregon TSPC C-1 form is crucial for educators seeking licensure or registration. Several other documents share similarities with this form, primarily in their purpose and the information they collect. Here’s a look at six such documents:

  • Application for Teacher Certification: Like the TSPC C-1, this application requires personal information, educational background, and proof of moral character. Both forms aim to ensure that educators meet the necessary standards for teaching.
  • Background Check Authorization Form: This form, similar to the TSPC C-1, collects personal details to conduct a background check. Both documents emphasize the importance of integrity and safety in the educational environment.
  • Employment Verification Form: This document requests information about previous employment, much like the experience section of the TSPC C-1. Both forms assess the candidate’s qualifications and work history in education.
  • License Renewal Application: Similar to the TSPC C-1, this application is used by educators to renew their licenses. It requires updated personal information and evidence of continued professional development.
  • Professional Development Log: This log tracks ongoing education and training, paralleling the TSPC C-1's requirement for evidence of professional growth. Both documents highlight the commitment to lifelong learning in the teaching profession.
  • Ethics and Conduct Statement: This statement outlines professional standards and ethical behavior, akin to the professionalism section in the TSPC C-1. Both emphasize the importance of conduct in maintaining public trust in the educational system.

Dos and Don'ts

When filling out the Oregon Tspc C 1 form, there are several important practices to keep in mind. Here are four things you should and shouldn't do:

  • Do: Read the instructions carefully before starting the form.
  • Do: Write legibly using black or blue ink.
  • Don't: Provide false information, as this can lead to denial or revocation of your application.
  • Don't: Leave any questions unanswered; ensure all sections are completed.

Misconceptions

Misconceptions about the Oregon TSPC C-1 form can lead to confusion and potential issues for applicants. Here are four common misunderstandings:

  • Misconception 1: The form is optional for those seeking an educator license.
  • Many believe that filling out the C-1 form is merely a suggestion. In reality, it is a mandatory step for anyone applying for a new educator license or renewing an existing one. Failing to complete this form could result in delays or denials of the application.

  • Misconception 2: Providing a Social Security Number (SSN) is not necessary.
  • Some applicants think they can bypass the SSN requirement. However, the TSPC requires your SSN to enforce child support and for state income tax purposes. Not providing it could hinder your application process.

  • Misconception 3: The character questions can be answered casually.
  • Applicants might underestimate the importance of the character questions included in the form. Each response must be carefully considered. Any "yes" answers require detailed explanations, and failure to provide thorough responses can lead to an incomplete application.

  • Misconception 4: The application can be submitted without a signature.
  • Some individuals believe that a signature is not essential if the form is completed. In fact, signing the application is crucial. It attests to the accuracy of the information provided and is a legal requirement for processing the application.

Key takeaways

When filling out the Oregon Tspc C-1 form, there are several important points to keep in mind:

  • Read the Instructions: Before starting, carefully read all instructions to ensure compliance with requirements.
  • Provide Accurate Information: Double-check all information for accuracy to avoid delays or denial of your application.
  • Legibility Matters: Use black or blue ink and write legibly to ensure your application is easily readable.
  • Social Security Number Required: You must provide your SSN for child support enforcement and state tax purposes.
  • Character Questions: Answer all character questions truthfully; a "yes" requires a detailed explanation on a separate sheet.
  • Signature and Date: Sign and date the application within 60 days prior to submission to TSPC.
  • Mailing Instructions: Print and mail the completed form directly to the TSPC office in Salem, Oregon.
  • Official Transcripts: Be prepared to submit official transcripts if required for certain licenses.
  • Ethnic and Race Status: Providing this information is optional and for statistical purposes only.

Following these guidelines will help ensure a smoother application process for your educator license or registration in Oregon.