Request For Temporary Leadership Certificate Recommendation 2023-2024 Step 1 of 3 33% TEACHER CERTIFICATION BRANCH REQUEST FOR TEMPORARY LEADERSHIP CERTIFICATE RECOMMENDATION 2023-2024 (Authorized by the Minister pursuant to the Education Act, the Certification of Teachers and Teacher Leaders Regulation Alberta Regulation 123/2022 A Temporary Letter of Authority (TLA) to teach may be considered only for applicants who present, at a minimum, evidence of: (a) holding certification in the jurisdiction where initial teacher preparation was completed; and (b) good standing in the last jurisdiction of employment*. In addition, these applicants must be deemed likely to qualify in all other respects for the Alberta Interim Professional Certificate. Temporary Letters of Authority are issued for a three-month period to allow sufficient time to complete the application process. * The jurisdiction of original certification may be the same as the last jurisdiction of employment as a teacher. APPLICANT’S PERSONAL INFORMATION Title(Required)MrMrsMsCurrent Full Legal Name:(Required) First Last FILE/CERTIFICATE NO.(Required) From Alberta EducationList all other (previous) legal names: NOTE: For both evidence of legal name change and of immigration/citizenship status you may choose to submit an unaltered copy of your original document(s) accompanied by a Statutory Declaration form(s) obtained from Alberta Education, Teacher Certification Branch, web site: https://education.alberta.ca/ or by calling 780-427-2045 or toll free by dialing 310-0000. Provide acceptable evidence of name changes. Photocopies of government issued birth certificate, marriage certificate, or legal name change certificate. Do not send original birth or marriage certificates to AISCA. Send copies to Alberta Education, Teacher Certification Branch. These documents can be uploaded to Alberta Education by logging into your TWINS Teacher Self Service account at. https://extranet.education.alberta.ca/twins.public/public/Date of Birth(Required) YYYY slash MM slash DD Personal Phone(Required)Work Phone(Required)Personal E-mail(Required) Work E-mail(Required) Citizenship Status:(Required) Canadian citizen by birth Canadian citizen by naturalization (granted) Permanent resident Other Self-Declaration: I verify that I demonstrate the ability and commitment as a leader to meet the competencies outlined in the Leadership Quality Standard.Name of School you are Principal at:(Required) Employed From:(Required) MM slash DD slash YYYY Employed To:(Required) MM slash DD slash YYYY Applicant’s Signature(Required)The personal information collected as part of this application process for teacher certification is collected pursuant to the provisions of the Certification of Teacher and Teacher Leaders Regulation, and section 33 of the Freedom of Information and Protection of Privacy Act (FOIP Act). This information will be used for the purpose of processing your application to determine your eligibility for extension of your interim professional certificate. The personal information will be treated in accordance with the FOIP Act. Questions regarding the collection may be directed to the Director, Teacher Certification Branch, Alberta Education, 44 Capital Boulevard, 10044 - 108 Street, Edmonton, AB, T5J 5E6. Telephone: (780) 427-2045; toll free by dialing 310-0000.CommentsThis field is for validation purposes and should be left unchanged.
