Credential Application

Credential/Certificate Application Submission
Timeline

Submission Window: February 1-28 | Submit new CTE Industry Credential and Community College Certificate Applications during this time period.

Initial Review: March 1-31 | ADE CTE Program Specialists will review submissions and provide feedback on incomplete applications or missing documentation.

Application Revision Deadline: April 30 | All application revisions must be submitted by this date. Exceptions will not be made.

UPDATE REQUESTS: Industry Credential and Community College Certificate update requests can be submitted at any time throughout the year. | ADE CTE Program Specialists will review requests within 30 days of submission.
Please identify if this submission is for a new Industry Credential, a new Community College Certificate, or an update to an existing Credential or Certificate.
Credential Type*

Industry Based CertificationCommunity College Certificate

New CTE Industry Credential Application
New Community College Certificate

The primary contact must be an administrator from the submitting CTED.

The primary contact must be the local CTE Director.
Primary Contact Name*
CTED or LEA District
Primary Title*
Wat is the Primary Contacts affilation
Primary Phone Number
Please enter a valid phone number.
Primary Organization / LEA*
Wat is the Primary Contacts affilation
Primary Email*
example@example.com
Secondary Contact Name
Ex: Community College or Industry
Secondary Contact Title
Ex: Community College or Industry
Second Phone Number
Please enter a valid phone number.
Secondary Organization / LEA
Ex: Community College or Industry
Secondary Email
example@example.com
CTE INDUSTRY CREDENTIAL INFORMATION
Name of Credential*
Description of Credential:*
COMMUNITY COLLEGE CERTIFICATE INFORMATION
Name of Specific Community College Certificate of Completion:*
Description of Certificate:*
Community College Program Website Link (URL) to Community College Program that shows course names and course / program outcomes:*
Please verify the website link (URL)
List of specific courses and credit hours required to obtain the Community College Certificate:*
PROGRAM ALIGNMENT INFORMATION
Program Area*
Program Alignment*
Notes
WORKFORCE DEMAND INFORMATION FOR INDUSTRY CREDENTIAL
Geographic Area of Credential:*

StateMulti-StateNationalInternational
Explanation of workforce demand for the CTE Industry Credential:*
WORKFORCE DEMAND INFORMATION FOR COMMUNITY COLLEGE CERTIFICATE
Occupations that recognize or seek holders of this credential:*
How many Arizona high school students or graduates within six months post-graduation, have completed and earned this credential to date?

Note: Local data is preferred. When local data is not available, please refer to national data.

Scenario: If local data is not available, a vendor may choose to offer a trial period to generate local data for a credential being considered for approval.
Explain and cite resources:*
LETTERS OF SUPPORT

Upload letters of support from three or more Arizona employers that recognize and support the credential.
- Each letter of support must come from local businesses or industry partners who could hire students who earn the proposed industry credential.
- Each letter must be signed and printed on official company letterhead.
- Each letter must nclude:
  - Details about workplace experiences available to students
  - The employer’s preference for hiring graduates who hold the credential
  - An explanation of how the credential aligns with essential job skills and knowledge
Letters from vendors, schools, or businesses unrelated to the credential’s field will not be accepted.
Letters of Support*

Each letter must be signed and on official company letterhead.
Cancelof

Fact Sheet - Vendor C
INSTRUCTIONS

With rare exceptions, the Arizona Department of Education does not approve single-source industry credentials—those offered exclusively by one vendor or provider. Broader industry recognition and accessibility are strongly preferred.

Provide the names and contact information for all researched agencies or vendors through which students can earn the credential.

Information for each vendor must be entered on a separate page of this application.
CTE INDUSTRY CREDENTIAL INFORMATION
Name of Credential: {nameOf}

Credential Alignment: {programAlignment}

Credential Description: {descriptionOf286}
STUDENTS: CTE INDUSTRY CREDENTIAL REQUIREMENTS
Coursework/Curriculum (Vendor Requirements) *
Seat hours required or recommended for attainment:*
Age requirements:*
Testing Methodology
- Paper? Yes No*
- Online? Yes No*
- Performance Exams? Yes No*
- Testing Methodology Details:Details*
Retesting (if available)
- Procedures: Describe re-testing procedures.*
- Number of attempts allowed: Number of attempts allowed*
Describe any testing accommodations provided to students:*
TEACHERS: CTE INDUSTRY CREDENTIAL REQUIREMENTS
Instructor Certification Requirements:*
Information Regarding Proctoring and Test Security:*
CTE INDUSTRY CREDENTIAL TRACKING
Credentialing Documentation:*
Credentialing Tracking System
- Online Tracking System? Yes No*
- Details:Details:*
Credential Expiration Timeline:*
Timeline
CTE INDUSTRY CREDENTIAL EQUIPMENT / SOFTWARE REQUIREMENTS FOR TESTING
What technology-related tools and resources are required to meet credential performance objectives (i.e., equipment, software, etc.) Explain as necessary.*
CTE INDUSTRY CREDENTIAL COSTS / REFUND POLICY
Cost Details:*
Refund Policy:*
CTE INDUSTRY CREDENTIAL CERTIFYING ORGANIZATION / AGENCY
Name of Certifying Organization/Agency or Accreditation Group: *
Complete Address:*
Website:*
Business Telephone Number:*
Please enter a valid phone number.
Contact Representative:
- Name: First Name* Last Name*
- Title: Title
- Email Address: Email
- Telephone Number: Area Code Phone Number

Fact Sheet - Community College Certificate
COMMUNITY COLLEGE CERTIFICATE INFORMATION
Name of Community College Certificate: {nameOf399}

Community College Alignment: {programAlignment}

Community College Description: {descriptionOf}
STUDENTS: COMMUNITY COLLEGE CERTIFICATE REQUIREMENTS
Coursework / Curriculum (Include sample high school plan of study): *
Credit hours required for attainment:*
Age / Grade Level requirements:*
Testing Methodology
- Paper? Yes No*
- Online? Yes No*
- Performance Exams? Yes No*
- Testing Methodology Details:Details*
Retesting (if available)
- Procedures: Describe re-testing procedures.*
- Number of attempts allowed: Number of attempts allowed*
Describe any testing accommodations provided to students:*
INSTRUCTORS: COMMUNITY COLLEGE CERTIFICATE REQUIREMENTS
Instructor Certification Requirements:*
Information Regarding Proctoring and Test Security:*
COMMUNITY COLLEGE CERTIFICATE TRACKING
Community College Certificate of Completion Documentation:*
Community College Certificate Tracking System:
- Online Tracking System? Yes No*
- Details:Details:*
Community College Certificate Expiration Timeline:*
Timeline
Other Requirements / Details:
COMMUNITY COLLEGE CERTIFICATE EQUIPMENT / SOFTWARE REQUIREMENTS
What technology-related tools and resources are required for certificate / test completion. Explain as necessary.*
COMMUNITY COLLEGE CERTIFICATE COSTS / REFUND POLICY
Cost Details:*
Refund Policy:*
CERTIFYING COMMUNITY COLLEGE CONTACT INFORMATION
Name of Certifying Community College: *
Physical Address:*
Website:*
Business Telephone Number:*
Please enter a valid phone number.
Contact Administrator:
- Name: First Name* Last Name*
- Title: Title
- Email Address: Email
- Telephone Number: Area Code Phone Number

This Page is for Internal Use Only.

Initial Review

Community College Application - Checklist
Community College Fact Sheet - Checklist
Industry Checklist - Fact sheet
Internal Notes - Program Specialist*
Specialist Approval

ApprovedDenied
Meeting: CTE State Director and CTE Director of Program Services

MonthDayYear
Date

Attach Finalized Fact Sheet*

Proofread and Attach final copy in pdf format
Cancelof

This Page is for Internal Use Only
Advisory Council
Meeting: Advisory Council

MonthDayYear
Internal Notes - Advisory Council
Advisory Council Approval

ApprovedDenied

This Page is for Internal Use Only
The Commission
Meeting: Commission

MonthDayYear
For CTE Director of Program Services Only
Internal Notes - Commission
For CTE Director of Program Services Only
Commission Approval

ApprovedDenied

This Page is for Internal Use Only
State Board
Meeting: State Board

MonthDayYear
Date
Meeting: State Board - Add
Notes - State Board
CTE Director of Program Services Only

Program Specialist Email
example@example.com
Step Directions
Steps Calculation
Steps Process
Form Name
Calculation
Stage Process
steps:{stepsProcess}

stage: {stageProcess}
Submitting organization*
Name of Certifying Organization*
Certification Application*

Cancelof
TimeStamp

MonthDayYear
Date
Hour MinutesAM/PM Option

Below supply the reasons for denying {nameOf} credential. Please use full sentences and review the denial letter that will be emailed to the submitter.
Denial Reasons*

Should be Empty:

Credential/Certificate Application Submission

New CTE Industry Credential Application

New Community College Certificate

Fact Sheet - Vendor A

Fact Sheet - Vendor B

Fact Sheet - Vendor C

Fact Sheet - Community College Certificate