Certification of Professional Education - Form 2
This file pertains to the Certification of Professional and Preprofessional Education for medical professionals. It provides instructions for applicants from New York State registered or LCME accredited medical schools. Use this file to ensure your educational qualifications are recognized.
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How do I fill this out?
To fill out this form, start by completing Section I and ensuring you sign and date in item 9. Afterward, send the completed form to your previous institution along with any required fees. The registrar will then fill out Section II and send it directly to the Office of the Professions.
How to fill out the Certification of Professional Education - Form 2?
1
Complete Section I of the form.
2
Sign and date item 9 in Section I.
3
Send the entire form to your educational institution.
4
Ensure the registrar completes Section II.
5
Have the completed form returned in an official envelope to the Office of the Professions.
Who needs the Certification of Professional Education - Form 2?
1
Medical school graduates applying for licensure in New York.
2
Those who attended LCME accredited institutions and need certification.
3
Applicants whose previous medical school has closed and needs records.
4
International medical graduates seeking recognition of their qualifications.
5
Individuals following up on their educational records to ensure compliance.
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What are the instructions for submitting this form?
To submit this form, send the completed PDF to the New York State Education Department, Office of the Professions, Division of Professional Licensing Services. You can email the document to DPLSEduc@nysed.gov or fax it to (518) 474-9966. Alternatively, mail the printed form to 89 Washington Avenue, Albany, NY 12234-1000.
What are the important dates for this form in 2024 and 2025?
Important submission dates for this form in 2024 and 2025 will be announced. It's crucial to stay updated with the Office of the Professions for any deadlines related to filing and submission.
What is the purpose of this form?
The purpose of this form is to certify the educational qualifications of medical graduates. It is mandatory for individuals seeking licensure in New York who have completed their education at specifically accredited institutions. This ensures that the educational credentials meet the required standards set by the state.
Tell me about this form and its components and fields line-by-line.
- 1. Social Security Number: A unique number assigned to track earnings and benefits.
- 2. Birth Date: The date of birth of the applicant.
- 3. Applicant Name: Full name of the applicant as it appears on official documents.
- 4. Mailing Address: Address where correspondence will be sent.
- 5. Degree Information: Details about the degree or certification obtained.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in licensure processing. Lack of proper certification can lead to complications with your application. It's crucial to ensure the form is filled correctly and submitted in a timely manner.
- Delayed Licensure: Missing this form can postpone your eligibility to practice.
- Negative Impact on Career Opportunities: Non-compliance may hinder job prospects in your field.
- Increased Application Review Time: Applications missing crucial documents may take longer to process.
How do I know when to use this form?
- 1. Applying for Medical Licensure: Required for individuals seeking permission to practice medicine.
- 2. Certification Requests for Academic Records: Use when needing to authenticate your educational credentials.
- 3. Verification of International Medical Education: Necessary for those who studied outside the U.S. and require validation.
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What information do I need to fill out the form?
You will need personal identification information, educational background, and institution details to complete the form.
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