Proof Of Teaching Experience - Oklahoma Department Of Education Page 2
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3Instructions for Completion of Oklahoma Proof of Teaching Experience Form
Teacher to complete top portion only:
Teacher’s Name
Social Security Number
Oklahoma school where currently employed (if applicable)
Remainder of the form is to be completed by the district/private school/university staff:
Accreditation Status – If school is accredited, please include the name of the Accrediting Agency
(ie: State Department of Education, North Central Association of Colleges and Schools, Christian
Schools International, etc.).
Certification Status – If teacher was certified during dates of employment, please provide certificate
information here. A copy of the certificate is also required for verification.
Name and Address of the Out-of-State or Nonpublic School – Please complete all information including
the name/title/contact information for the individual certifying the accuracy of employment data.
Service Records – Use a separate line for each school year reported (all columns must be completed).
State – State where school is located
County – County where school is located
District Name or Institution – Employing District/School/University
Dates of Service – Contract Dates/Start-End Dates by school year
Position/Grade – Grade if applicable
Full Day or Fraction of Day Employed – Can be reported as Full-time, 1.0 or 100%; Other examples
would be Half-time, .50, 50% or .25, 25%
Actual Number of Days Employed – Days worked/on contract per school year
Number of Days in Full Year – Days in full contract for position held (example 180 days for teachers/
200 days for principal)
Certifying Official Signature – Request will not be processed if signature is missing
Submit completed form, along with copy of valid certificate for school year(s) being verified, to:
Mail: Oklahoma State Department of Education
Attn: School Personnel Records
2500 N. Lincoln Blvd., Room 210
Oklahoma City, OK 73105
Email: Brad Barker – brad.barker@sde.ok.gov
July 2017
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