The Intern Certifcation Application, Internship/Field Experience Registration and the Site Approval Form are essential documents that must be completed before beginning any approved internship placement. Failure to submit ALL THREE forms at least 30 days prior to the anticipated start date may result in delays in starting the internship.

This form is for Master's or post-baccalaureate students in the College of Education to apply for Intern Certification with Kutztown University of PA through the Pennsylvania Department of Education. Only complete the form if you have completed at least one course in your program, have passed all testing required by your certification area, AND have been hired as the teacher of record by a public or private school in PA.