Adding the PPS Credential to your Masters Program

You must be in good standing and currently enrolled in a Graduate Program to add the PPS. Please turn in the following to be considered for admission to the PPS Credential Program: Statement of Purpose justifying why you want to add the PPS Credential to your current program (form attached) Unofficial CSUF current transcripts (print from your student portal) Copy of your CBEST-Must be passed

Copy of your Certificate of Clearance* or Valid Teaching Credential. *If you do not hold a valid teaching credential, please see the attached form and follow all instructions. You must receive your clearance from the CTC before submitting your paperwork for adding the PPS. Turn in all the above to ED 151 in the Kremen School of Education. Once your file is reviewed, you will receive the programs decision via mail. This process can take up to 4 weeks or longer.

CALIFORNIA STATE UNIVERSITY, FRESNO

Kremen School of Education and Human Development Graduate Programs

Date

STATEMENT OF PURPOSE

Adding the Pupil Personnel Services Credential

Current Masters ProgramMS in Counseling, option Counseling and Student Services-K12 MS in Counseling, option Counseling and Student Services-HE
NAME: Last ADDRESS: Number & Street TELEPHONE: Home E-MAIL: City Business CSUF STUDENT ID#: State Zip First Middle

MS in Counseling, option Marriage and Family Therapy MS in Rehabilitation Counseling

In the space provided below, justify why you are adding the PPS to your Masters program at this time. Also include your short-term and long-term professional goals. You may attach additional pages.

CALIFORNIA STATE UNIVERSITY, FRESNO

Kremen School of Education and Human Development Graduate Programs

Date

PUPIL PERSONNEL SERVICES CREDENTIAL ADMISSION REQUIREMENT

MEDICAL CLEARANCE FORM

NAME: Last ADDRESS: Number & Street TELEPHONE: Home E-MAIL: SS# BIRTHDATE: Business CSUF STUDENT ID#: GENDER: Male Female City State Zip First Middle

CERTIFICATION BY DIRECTOR OF STUDENT HEALTH SERVICES OR PRIVATE PHYSICIAN This is to certify that the applicant is negative for active Tuberculosis.
(EC44336 This student is free from any contagious and communicable disease or defect unfitting the applicant to instruct or associate with children.) These results are only valid for 1 year.

Date

Health Center Director or Private Physician's Signature

Office Address (If private Physician)

HOW TO OBTAIN A CERTIFICATE OF CLEARANCE

The steps are to be completed in this order:

STEP 1: Live Scan Electronic fingerprinting process

Go to: www.ctc.ca.gov Under the CA EDUCATORS tab located at the top of the page: 1. Select Application, Forms, Leaflets and Manuals 2. Select Application and Forms 3. Select Request for Live Scan Service 41-LS form, print 1 copy to take to your Live Scan appointment To process the Live Scan, contact: Fresno State Campus Police Department Schedule an appointment by calling (559) 278-2958. Fee is $69 payable by personal check, cashiers check or money order Various Live Scan Agencies See list in Education Room 100

Your fingerprints will be submitted to the Department of Justice and the FBI. The LiveScan operator will give you a copy of the submissionkeep this for your records. Now you are ready for STEP 2

STEP 2: Direct Application turn off all pop-up blockers for this site.
Go to: www.ctc.ca.gov/ and select the ONLINE SERVICES FOR EDUCATORS button Click on the EDUCATOR PAGE box If this is your first application with CTC, you may be required input your SSN and DOB twice. Click on the CREATE PERSON button and enter your information and click SAVE. Click the NEW button to enter your address and click NEXT in the lower right-hand corner Under Web Applications, click on the CREATE NEW button Using the drop-down arrow under General Application Category select CERTIFICATE OF CLEARANCE/ACTIVITY SUPERVISOR Using the drop-down arrow under Document/Authorization Title, select CERTIFICATE OF CLEARANCE. Read the Disclosure page for the Professional Fitness questions, answer YES to continue to the next page. Answer the professional fitness questions, complete the Oath and Affadavit and submit payment. Print the receipt for your records.

Your clearance may take several weeks to process. Once completed, you may look up your Certificate of Clearance by following these directions: Go to www.ctc.ca.gov/ and select SEARCH FOR AN EDUCATOR Select SECURED SEARCH and input your SSN and DOB 1. Click on the hyperlink for the Certificate of Clearance 2. Print a copy and submit with your application to the credential program

*Exemption It is not necessary to apply for a Certificate of Clearance if you can present a copy of a VALID California certificate or credential such as an emergency permit, Pre-Intern certificate, PPS credential, Childrens Center Permit or Adult Vocational Education credential. 6.7.12