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It collects essential applicant information including personal identification details such as name, CWID, social security number, and contact information. The form is designed to facilitate the professional credentialing process, allowing candidates to specify the type of credential they are seeking—whether a Certificate of Eligibility, Preliminary, or Clear credential—while providing space for institutional administrative processing, including completion and issuance dates. It ensures that credential recommendations are accurately communicated via the applicant's CTC-associated email address. As a formal administrative tool, it streamlines the data entry process for both the MyCOE and CMS systems, reflecting the standardized requirements for educators pursuing advanced administrative certification within the California State University system.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":57,"@type":76,"position":81},"https://docshare.wps.com/document/general/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/administrative-services-credential-application-information-form/388237/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/administrative-services-credential-application-information-form/388237.png","ImageObject",300,407,{"name":92,"@type":93},"Himbo","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-20","2026-09-25",true,{"@type":102,"interactionType":103,"userInteractionCount":44},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What information is required from the applicant to complete the form?","Question",{"text":112,"@type":113},"Applicants must provide their full name, maiden name (if applicable), CWID, the last four digits of their SSN, date of birth, complete mailing address, phone numbers, and email address.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What types of credentials can an applicant apply for using this form?",{"text":117,"@type":113},"Applicants may apply for a Certificate of Eligibility, a Preliminary credential, or a Clear credential.",{"name":119,"@type":110,"acceptedAnswer":120},"Where will the online credential recommendation be sent?",{"text":121,"@type":113},"The recommendation will be sent to the email address associated with the applicant's CTC (Commission on Teacher Credentialing) account.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},388237,1790827534,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":56,"category_name":57,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":44,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":14},687197100911,"https://ap-avatar.wpscdn.com/avatar/a000239b6f1da00475?x-image-process=image/resize,m_fixed,w_180,h_180&k=1785132997149421697","Credential Preparation Center  \nP. O. Box 6868 Fullerton, CA 92834-6868  \nADMINISTRATIVE SERVICES CREDENTIAL APPLICATION INFORMATION  \nLast Name:   First Name:   Middle Name:   Maiden Name:   CWID:   Last Four Digits ofSSN:  XXX-XX-  Date ofBirth:   Address:  City/State:   Zip:   Home/Cell Phone:   Work Phone:   Email:    \nOnline credential recommendation will be sent to the email address associated with your CTC account.  \nTYPE OF CREDENTIAL FOR WHICH YOU ARE APPLYING:  \nCERTIFICATE OF ELIGIBILITY  \nPRELIMINARY  \nCLEAR  \nOFFICE USE ONLY: DATE STAMP  \nCompletion Date:   Issuance Date:   CTC Submittal Date:    \n MyCOE DATA ENTRY CMS DATA ENTRY  \nUpdated 3/4/2026  \nTHE CALIFORNIA STATE UNIVERSITY  \nBakersfield / Channel Islands / Chico / Dominguez Hills / East Bay / Fresno / Fullerton / Humboldt / Long Beach / Los Angeles / Maritime Academy Monterey Bay / Northridge / Pomona / Sacramento / San Bernardino / San Diego / San Francisco / San Jose / San Luis Obispo / San Marcos / Sonoma / Stanislaus","cbCaiaC2sH59XkTD","https://ap.wps.com/l/cbCaiaC2sH59XkTD","pdf",231441,"English","# Administrative Services Credential Application\n## Applicant Personal Information\n## Credential Selection\n## Office Use and Processing Data","[{\"question\":\"What information is required from the applicant to complete the form?\",\"answer\":\"Applicants must provide their full name, maiden name (if applicable), CWID, the last four digits of their SSN, date of birth, complete mailing address, phone numbers, and email address.\"},{\"question\":\"What types of credentials can an applicant apply for using this form?\",\"answer\":\"Applicants may apply for a Certificate of Eligibility, a Preliminary credential, or a Clear credential.\"},{\"question\":\"Where will the online credential recommendation be sent?\",\"answer\":\"The recommendation will be sent to the email address associated with the applicant's CTC (Commission on Teacher Credentialing) account.\"}]","Administrative Services Credential Application - Information Form | PDF",1790298057]