The Georgia PSC Employer Assurance Form is a crucial document designed to verify the employment status of individuals seeking certification as educators in Georgia. This form ensures that all necessary background checks have been completed and that the applicant adheres to the Georgia Code of Ethics for Educators. If you are an employer, you can facilitate the certification process by filling out this form; just click the button below to get started.
The Georgia PSC Employer Assurance Form serves a critical role in the certification process for educators within the state. This form is designed for both public school employers and other educational institutions in Georgia, allowing them to verify an applicant's employment status and background checks. The form requires detailed information about the applicant, including their name, certification ID, and date of birth, all of which must be filled out in dark ink. Employers are tasked with completing sections that confirm the applicant's employment in a position requiring Georgia Professional Standards Commission (GaPSC) certification. They must also certify that all necessary background checks have been conducted and that any violations of the Georgia Code of Ethics have been reported. Additionally, the form allows employers to request specific transactions on behalf of the applicant, such as the issuance of a first certificate or the renewal of an existing one. Employers must provide their information, including their title and contact details, and they are required to sign the form to validate the information provided. The form should be submitted electronically through the appropriate channels, ensuring a streamlined process for certification applications.
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)
/
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)
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)
Agriculture– 788
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 & Logistics– 654
Electronics Technology – 657
Esthetics – 614
Government & Public Administration– 680
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 Psychology– 711
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 Grades– 859 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
Completing the Georgia PSC Employer Assurance form is an important step in verifying an applicant's employment as a Georgia educator. After filling out this form, it should be submitted electronically through the appropriate channels, depending on whether the applicant is associated with a public school or another type of educational institution. Following these steps will help ensure that the process runs smoothly.
The Georgia PSC Employer Assurance Form is used to verify the current employment status of an applicant who is seeking certification as a Georgia educator. It ensures that all required background checks have been completed and any violations of the Georgia Code of Ethics for Educators have been reported. Additionally, it may exempt the applicant from certification fees in certain situations.
Public school employers in Georgia must submit the form electronically through their account on www.gapsc.org. Other employers in Georgia can complete the form for applicants to upload via MyPSC. This includes private schools and educational agencies.
The applicant must provide their personal information, including:
It's important to fill out this section clearly, using dark ink or typing.
Employers must certify that:
This certification is crucial for ensuring the integrity of the hiring process.
Employers can request various transactions on behalf of the applicant, such as:
Be sure to check all applicable options when submitting the form.
The form should not be mailed. Instead, it must be submitted electronically through the appropriate channels, either via the employer’s account on the GaPSC website or uploaded by the applicant through MyPSC. This helps streamline the certification process.
Submitting an incomplete form can lead to delays in processing the applicant's certification. It is essential to fill out all sections legibly and accurately. Double-check that all required information is provided before submission to avoid unnecessary complications.
Using the wrong ink color. The form specifically requires dark ink, so using any other color can lead to issues.
Failing to complete all sections. Sections 2, 3, and 4 must be filled out by the employer. Omitting any of these can delay processing.
Not certifying background checks. Employers must certify that all required background checks have been completed for the applicant. Missing this step can cause the application to be rejected.
Incorrectly reporting employment details. It is crucial to accurately state the applicant's employment status and the position requiring GaPSC certification. Errors can lead to misunderstandings.
Neglecting to provide a signature. The form requires a signature from the superintendent or authorized designee. An unsigned form will not be accepted.
Submitting the form by mail. The instructions clearly state DO NOT MAIL. Forms must be submitted electronically, or they will not be processed.
Overlooking the certification field code. Each applicant's certification field must be accurately noted. Failing to include the correct code can result in delays or denials.
The Georgia PSC Employer Assurance Form is a critical document for verifying the employment status of educators in Georgia. It serves as a means for public and private school systems to confirm that applicants meet the necessary requirements for certification. Alongside this form, several other documents may also be required to facilitate the certification process. Below is a list of these additional forms and documents, each serving a specific purpose in the certification journey.
Each of these documents plays a vital role in the certification process, ensuring that educators in Georgia are qualified and prepared to provide quality education. Understanding the purpose and requirements of each form can streamline the application process and enhance the chances of successful certification.
The Georgia PSC Employer Assurance Form shares similarities with the Employment Verification Form used in various states. Like the Georgia form, this document serves to confirm an educator's employment status, ensuring that all necessary background checks have been conducted. It typically requires the employer's certification that the applicant meets all qualifications and ethical standards required for teaching. Both forms aim to facilitate the certification process, allowing educators to demonstrate their eligibility for teaching positions within their respective states.
Another comparable document is the Teacher Certification Application. This application often includes sections for employment verification, similar to the Georgia PSC Employer Assurance Form. It requires applicants to provide details about their current employment and any relevant background checks. Both documents are essential in confirming that an applicant is qualified to receive a teaching certificate, ensuring that they meet the educational and ethical standards set forth by the governing body.
The Credential Verification Form is also akin to the Georgia PSC Employer Assurance Form. This form is utilized to verify an educator's credentials and employment history. Employers must attest to the accuracy of the information provided, similar to the assurances required in Georgia's form. Both documents play a crucial role in the certification process, ensuring that only qualified individuals are granted teaching credentials.
Lastly, the Background Check Authorization Form aligns with the Georgia PSC Employer Assurance Form in purpose and function. This document is essential for obtaining consent to conduct background checks on potential educators. While the Georgia form certifies that background checks have already been completed, the Background Check Authorization Form initiates that process. Both forms emphasize the importance of ensuring that educators meet safety and ethical standards before being allowed to work with students.
When filling out the Georgia PSC Employer Assurance form, there are several important considerations to keep in mind. Below is a list of things you should and should not do to ensure the process runs smoothly.
By adhering to these guidelines, you can facilitate a more efficient processing of the Georgia PSC Employer Assurance form.
Understanding the Georgia PSC Employer Assurance Form is essential for both employers and applicants. However, several misconceptions can lead to confusion. Here are nine common misconceptions about this form:
Addressing these misconceptions can help streamline the certification process for educators in Georgia.
Key Takeaways for Filling Out the Georgia PSC Employer Assurance Form
This form is essential for verifying employment and facilitating the certification process for Georgia educators. Proper completion is crucial for a smooth submission and approval.