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CERTIFICATE OF CLEARANCE INSTRUCTION SHEET (Bakersfield Campus)Part I and Part II MUST BE COMPLETED TO BE GRANTED A CERTIFICATE OF CLEARANCEA two-part fee is required: 1) Live Scan fee and 2) CTC fee.Part I: Obtain a Live ScanIf you have completed an electronic Live Scan within the last 18 months specifically for CTC but do not hold a Certificate ofClearance, California Credential, or Permit proceed to Part II.Step 1: Obtain a Live Scan form Complete ‘Request for Live Scan Service 41-LS form’ (attached) or available on the CTC website athttp://www.ctc.ca.gov/credentials/leaflets.html; print one copy.Step 2: Schedule an appointment to Live Scan Contact a Live Scan location in your area. Students who will be working with Kern High School District should complete a LiveScan through that districtoffice. Contact Camille Halliwill at 661/827-3168 for further information.Step 3: Report to Live Scan Station of your choiceRequired Documents:1. Valid Photo identification2. Live Scan Service 41-LS form (see step 1)3. Fee (check with your Live Scan location for current fee and acceptable payment types)Your fingerprints are submitted electronically to DOJ and FBI. Keep a copy of your receipt and live scan form for yourrecords. You are now ready to proceed to Part II. Part II must be completed in order to obtain a Certificate of Clearancethrough the Commission on Teacher Credentialing and for admission into the credential program.Part II: Apply for the Certificate of Clearance through the Commission on Teacher Credentialing (CTC).Click here for current CTC fees: CTC FeesDO NOT apply for a Certificate of Clearance if you hold a valid California Credential or Permit.--TURN OFF ALL POP-UP BLOCKERS BEFORE BEGINNING THIS STEP- Go to: www.ctc.ca.gov/ and select the ‘SERVICES FOR EDUCATORS’ buttonClick the ‘Educator Login’ button on the far right.If this is your first application with CTC, you will be prompted to create a username and password.If you have an existing profile, continue with the instructions.Print a copy of your receipt for your records.Processing time may take up to several weeks.CTC will notify you by email once the document has been issued.**NOTE: Answering ‘Yes’ to any of the Professional Fitness Questions requires submission of supportingdocuments to the Commission on Teacher Credentialing per instructions provided. This may delay the processingtime of your application.Looking Up and Printing Your Certificate of Clearance, Credential or Permit Go to http://www.ctc.ca.gov/ select ‘SEARCH FOR AN EDUCATOR’ Select ‘Secured Search’; enter your Social Security Number and Date of Birth Click on the Document Number ‘hyperlink’ next to the Certificate of ClearancePrint this page and submit a copy along with your program application.

PrintREQUEST FOR LIVE SCAN SERVICEFORM 41-LS Rev. 04/15Applicant SubmissionA0281ORI:Type of Application:Section 1License/Certification/PermitCode assigned by DOJJob Title or Type of License, Certification or Permit:TEACHER CRED 44340 ECAgency Address Set Contributing Agency:Section 203294CASM TEACHER CREDENTIALINGAgency authorized to receive criminal history informationStreet No.City1900 Capitol AvenueStreet or PO BoxSacramentoContact Name (Mandatory for all school submissions)95811-4213CAStateZip CodeContact Telephone No.Section 3*Name of Applicant:(Please print)*Alias:Mail Code (five-digit code assigned by DOJ)LastFirstLast*Driver’s License No:First*Date of Birth:*Sex:MaleMIFemaleMisc. No. BIL Agency Billing Number*Height:*Weight:Misc. Number:*Home Address:*Eye Color:*Hair Color:Street No.*Place of Birth:City, State and Zip Code*Social Security Number (full):*OCA Number:Street or PO Box* Required FieldsSection 4(SSN OR ITIN#)Level of Service:If resubmission, list Original ATINumber:XDOJXFBISection 5SUPPLEMENTAL AGENCY/EMPLOYER(County Office of Education/School District)Employer NameStreet No.Street or PO BoxCityStateLive Scan Transaction Completed By:Transmitting AgencyMail Code (COE/SD five digit code assigned by DOJ)Zip Code()Agency Telephone No. (optional)Section 6Name of OperatorATI No.LSIDDateAmount Collected/BilledORIGINAL – Live Scan Operator; SECOND COPY – Applicant; THIRD COPY (if needed) – Requesting Agency

State of CaliforniaCommission on Teacher Credentialing1900 Capitol AvenueSacramento, CA 95811-4213Email: credentials@ctc.ca.govWebsite: www.ctc.ca.govFEE SCHEDULE INFORMATIONThe California Commission on Teacher Credentialing is a fee-supported state agency that collects fees asauthorized in California Education Code §44235 and the California Code of Regulations, Title 5, §80487.Statute and regulations state that fees shall accompany applications for issuance, reissuance or renewal ofdocuments, and that fees are earned upon receipt and shall not be refunded.CTC Online ApplicationsThe CTC Online process is available for applications that require online submission, both for first-timeapplicants and renewal or reissuance of the following: Renewal/reissuance of clear credentials and 30-Day Substitute Permits Educators completing a recommendation for a document from a California Commission-approvedprogram sponsorCTC Online is also used for the submission of applications by individual educators seeking to obtaincertification in these areas: California residents applying for Certificates of Clearance Activity Supervisor Clearance Certificates (first-time applicants and renewals)All online transactions are subject to a 2.50 service fee (effective March 7, 2014) in addition to the applicationfee. Individuals who must submit fingerprint cards with their application cannot use the CTC Online system andmust submit a paper application. For information on the options available to submit an application online, Paper Applications-Initial and Renewal/ReissuanceThe Form 41-4 paper application may be used to submit application packets to the Commission by: Applicants prepared out-of-state or outside the United States applying for their initial Californiacredential, permit, or, if needed, a Certificate of Clearance (see Credential Leaflet CL-900) Applicants renewing or requesting reissuance of Child Development, Emergency or LimitedAssignment permits Individuals who need to submit fingerprint cards with their applicationComplete a separate application for each document requested. Checks/money orders/cashier’s checks shouldbe made payable to the Commission on Teacher Credentialing or CTC. The Commission does not accept cashas a form of payment. The application packet should include a completed application (Form 41-4), officialtranscripts, a Live Scan receipt (Form 41-LS) or two fingerprint cards (FD-258) as appropriate, and allapplicable fees. While a separate application form and fee is required for each document requested, only oneset of fingerprint cards needs to be provided.CL-659 12/2016Page 1 of 2

Refer to the fee schedule below and include the applicable fees for each application packetbeing submitted to the Commission on Teacher CredentialingApplication FeesInitial or Renewal/Reissuance (Form 41-4 or Online Application for ASCC) . 100.00This is the basic nonrefundable application fee for all types of credentials, certificates, permits, also for addingany type of authorization to a credential, unless a different amount is shown below. Applications for the ActivitySupervisor Clearance Certificate (ASCC) must be submitted online.Certificate of Clearance*(Form 41-4 or Online Application) . 50.00* The Certificate of Clearance (COC) is not the same as applying for a clear credential. The COC does notauthorize providing any type of instruction or services in schools; its sole purpose is to provide verificationthe holder has completed a professional fitness review. Credential Leaflet CL-900 identifies who needs aCOC. Out-of-state and out-of-country residents must use Form 41-4 to apply for a COC, while Californiaresidents must apply for the COC using the Online Application process (for more details Click Here).Certificate of Completion of Staff Development (Form 41-4) . 45.00Certificate of Eligibility-Upgrade to Preliminary Credential (Admin or Ed Specialist). 50.00Child Development Permit Upgrade (see Credential Leaflet CL-797)**. 50.00** The one-half fee for upgrade is only applicable within first 3 years of the initial issuance of a childdevelopment permit.Request for Employment Restriction Change (Form 41-4). 50.00Name Change Request (complete Form 41-NC). 0.00Military Fee WaiverThe application processing fee for an initial California credential, Multiple Subject, Single Subject, EducationSpecialist Instruction, or Designated Subjects (Career Technical or Adult Education), is waived for out-of-stateprepared applicants who relocate to California due to orders received from a branch of the United States ArmedForces that require the applicant’s spouse to relocate to California. This waiver applies only to an educator’sfirst California credential and is not available for renewals, appeals, or through the online applicationprocess. Fingerprint clearance (Live Scan or fingerprint cards and fee) is still required. See Credential LeafletCL-892 for more information.Fingerprint FeesApplicants Residing in CaliforniaLive Scan Service (Form 41-LS) .Fee Collected by Live Scan OperatorApplicants Residing Outside of CaliforniaFingerprint Cards (FD-258). . . 49.00California residents do not have the option of submitting fingerprint cards. The California Department of Justicewill only accept fingerprint cards from the Commission for teachers who reside outside of California.Two fingerprint cards must be submitted with the application packet but only one fingerprint fee is due. Ifsubmitting applications for more than one document, only one set of fingerprint cards must be provided. SeeCredential Leaflet CL-271 Fingerprint Clearance Information for more details.CL-659 12/2016Page 2 of 2

How to View and Print Your DocumentYour personal Educator Page allows you to complete recommendations from your program sponsor,and renew documents when required. You can also use your Educator Page to update your personaland contact information on file with the Commission. Name changes cannot be made online. SubmitForm 41-NC to change your name, SSN, ITIN or date of birth.1. Click the Credentialing Information navigation button2. Select the Educator Login button to access CTC Online.3. Log in to your personal profile on the secure Educator Page. You will be asked to enter yourUser ID and Password.NOTE: Effective 02/16/2017, you will not be able to access your file online directly with aSocial Security number and Date of Birth. All users will be required to create a User IDand password first before accessing their CTC Online file.Users who have not yet completed this process must use the link “Create User ID andPassword” (highlighted yellow in the sample below) to link to their online profile.How to Print2/2017Page 1

4. Enter your SSN and Date of Birth to begin creating your User ID and Password. Click OK. Donot use the “Enter” key on your device as it will not advance you to the next step.5. Enter your personal information including your selection of a User ID and Password, and create3 Challenge Questions and Answers that can be used to verify your account if your ID orPassword should be lost. You must include a current valid email address in your profile asthis is how password recovery information and other important correspondenceregarding your file will be distributed. If you already have a credential file in CTC Online, youwill still be prompted to create a new User ID, Password, and challenge questions before youcan proceed.How to Print2/2017Page 2

6. After creating your User ID and Password you will go back to the login screen to use your newUser ID and Password. Once logged in, you will first see a screen with a Personal LegalDisclaimer. Click “Next” on that screen to proceed.XXXxXxxxHow to Print2/2017Page 3