Pre-Residency Clearance In-State Applicant

This application is for educators currently completing their teacher preparation program.


  • Program approval (contact your institution's certification officer for approval process)
  • Submission of fingerprints for a background check is required if a valid certificate is not already on record

NOTE: If you are an out-of-state applicant, you will need to have your institution complete Form 4050E. In-state applicants, please contact your institutions certification officer for more details.


If you have all necessary documentation to apply for this certificate, log in to E-Certification

*IMPORTANT: Please note that application fees are NOT refundable. Ensure that you select and submit the correct application. If you have questions regarding your application, please contact our office.