Request for PA Certification Recommendation Form

Please read the instructions before filling out this form. This form should only be completed after you have applied for your certification through the Pennsylvania Department of Education (PDE) Teacher Information Management System (TIMS).

All fields are required unless otherwise stated.

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Personal Information

Tell us about yourself so we can locate your academic records.

(optional)
(optional, strongly encouraged)
Contact Information

Tell us where we can contact you if we have questions about your certification. If you are graduating soon and planning to move, please include contact information that will still be valid after graduation.

(optional, strongly encouraged)
Certification Information

Tell us about the certification you are applying for. Remember you must first apply via PDE's TIMS online application system, and then include the relevant information from your application below.

Certificate subject area(s) associated with this TIMS application (select all that apply)

Instructional Certificates


Endorsement or Specialist Certificates
Supervisory or Administrative Certificates/Licenses
(required for graduates; not required for interns)
Uploads
The total size of all uploads may not exceed 30MB.
(optional, highly recommended)
(optional)
(optional)
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