• WVDE Form 41

    WVDE Form 41

  • 1. Applicant Information

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  • 2. Disclosure of Background Information

    If you answer yes to any question below, submit a narrative with your application. The narrative should include dates, locations, school systems, and any/all other information that explains the circumstance(s) in detail.

  • 3. Applicant Signature

  • Clear
  •  - -

  • 4. Fingerprinting Information

  • Fingerprinting instructions at https://wvde.us/certification/certification-info/application-forms/first-time-application/

  • Commitment for Completing Required College Coursework and/or Professional Development for Specialized Training

  • Clear
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  • Should be Empty: