Application for Five-Year Renewable Coaching Permit
This file is a comprehensive application form for obtaining or renewing a five-year renewable coaching permit in Connecticut. It includes personal information, first aid and CPR course completions, high school information, and attestations. Follow the instructions carefully to ensure proper submission and processing.
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How do I fill this out?
To fill out this form, please gather all required personal information and ensure you have completed necessary courses and training. Attach all required documents as specified in the form. Sign and date the application before submission.
How to fill out the Application for Five-Year Renewable Coaching Permit?
1
Complete Parts I through VIII of the application.
2
Attach a photocopy of your valid Standard First Aid card or original certificate of completion.
3
Attach a photocopy of your valid CPR card or original certificate of completion.
4
Attach a copy of your high school diploma or official high school transcript.
5
Sign and date the application before submission.
Who needs the Application for Five-Year Renewable Coaching Permit?
1
Aspiring coaches who want to obtain a five-year renewable coaching permit in Connecticut.
2
Current coaches who need to renew their expired coaching permit.
3
Individuals who have completed the required first aid and CPR courses.
4
Applicants who have completed the required concussion and head injury training.
5
Individuals without a valid Connecticut educator certificate seeking to complete the coaching permit application process.
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2
Use the PDF editor to enter your personal information and complete required sections.
3
Attach necessary documents to the form.
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5
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What are the instructions for submitting this form?
To submit this form, complete the application sections and attach all required documents. Return the completed application and attachments to the Bureau of Educator Standards and Certification at P.O. Box 150471, Hartford, CT 06115-0471. You can also contact them at www.ct.gov/sde for further instructions on submission. My advice is to ensure all information is accurate and complete before submission to avoid any delays.
What are the important dates for this form in 2024 and 2025?
Ensure your first aid, CPR, and concussion training courses are completed within the past three years. Renewal applicants must complete 15 clock hours of relevant seminars or courses.
What is the purpose of this form?
The purpose of this form is to allow individuals to apply for or renew a five-year renewable coaching permit in Connecticut. This form collects personal information, verifies completion of required training courses, and ensures applicants meet the necessary criteria for obtaining the permit. Proper submission and processing of this form enable qualified individuals to receive their coaching permit, allowing them to legally coach in the state of Connecticut.
Tell me about this form and its components and fields line-by-line.
- 1. Part I: Personal Information: Collects personal details, including name, social security number, address, contact information, and race/ethnicity.
- 2. Part II: Completion of Required First Aid Course: Requires information and documentation of a completed first aid course.
- 3. Part III: Completion of Required CPR Course: Requires information and documentation of a completed CPR course.
- 4. Part IV: High School Information: Requires a copy of the applicant's high school diploma or transcript.
- 5. Part V: Concussion and Head Injury Training Requirement: Requires documentation of completed concussion and head injury training.
- 6. Part VI: Completion of Required Coaching Course: For individuals without a valid Connecticut educator certificate, requires documentation of completed coaching course.
- 7. Part VII: Renewal of Five-Year Renewable Coaching Permit: Verification of completion of 15 clock hours of relevant training for permit renewal.
- 8. Part VIII: Applicant Attestation: Applicant certifies that all provided information is true and accurate and signs the form.
What happens if I fail to submit this form?
Failure to submit this form may result in your inability to obtain or renew your coaching permit.
- Inability to Coach Legally: You will not be authorized to coach in Connecticut without a valid permit.
- Potential Penalties: Coaching without a valid permit may subject you to penalties or legal actions.
- Missed Opportunities: You may miss out on coaching opportunities if your permit is not renewed or obtained on time.
How do I know when to use this form?
- 1. New Applicants: For individuals applying for a new coaching permit.
- 2. Renewal Applicants: For individuals renewing their existing coaching permit.
- 3. Training Verification: To verify completion of required first aid, CPR, and concussion training courses.
- 4. Certification Verification: For individuals without a valid Connecticut educator certificate to verify coaching course completion.
- 5. Updating Personal Information: To update your personal information and ensure it is accurate on your coaching permit.
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What information is needed for Part I?
Part I requires your personal information including name, social security number, address, and contact information.
What courses are required for this application?
You need to complete a first aid course, CPR course, and concussion and head injury training.
Can I use an expired first aid card?
No, the first aid course must be completed within three years prior to the date of application.
Do I need to submit a high school diploma?
Yes, you must attach a copy of your high school diploma or official high school transcript.
Can I use an online-only CPR course?
No, CPR and first aid courses completed in an online-only format are not accepted for a coaching permit.
What happens if I provide false information?
Providing false information may result in the denial or revocation of your permit or authorization.
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