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After completing last field, save document to hard drive to make future updates or click Print button.   \n100 North First Street, E-240 Springfield, Illinois 62777-0001  \n83-87!  \nAPPLICATION FOR SHORT-TERM APPROVAL FOR CAREER & TECHNICAL EDUCATION  \nEDUCATOR EFFECTIVENESS DEPARTMENT  \nIMPORTANT: You also must apply online and pay the applicable fee through your Educator Licensure Information System (ELIS) account.  \nDIRECTIONS: The applicant should complete Section I and then send this form to the school district or entity that will be hiring so Section II can be completed. The completed form and the required documentation must be uploaded into ELIS by the ROE/ISC or emailed to us at[licensureforms@isbe.net](licensureforms@isbe.net) by the Chicago Public Schools (CPS) Talent Office. Forms submitted by the educator will not be honored.  \nSECTION I: APPLICANT INFORMATION  \n\n| NAME (Last, First, Middle, Maiden) |  | IEIN |  | BIRTHDATE (mm/dd/yyyy) |\n| --- | --- | --- | --- | --- |\n| ADDRESS (Street Number, City, State, ZIP Code) |  | EMAIL |  |  |\n|  |  | HOME TELEPHONE (Include Area Code) |  |  |\n| SECTION II: TO BE COMPLETED BY THE EMPLOYING SCHOOL DISTRICT |  |  |  |  |\n| REGION, COUNTY, DISTRICT, TYPE CODE/FACILITY CODE | DISTRICT NAME |  |  |  |\n| ADDRESS (Street Number, City, State, ZIP Code) |  |  | TELEPHONE (Include Area Code) |  |\n\nAs administrator of this entity  \n1) I assure that we have not honorably discharged anyone in the past year who was fully qualified for the position.  \n2) I assure that supervision the individual will receive will be from the following individual in the school of assignment who holds a Professional Educator License (PEL) endorsed for general administration, principal, or superintendent.  \n\n| NAME OF SUPERVISOR (Last, First, Middle, Maiden) | IEIN | LICENSE AND ENDORSEMENT HELD |\n| --- | --- | --- |\n\n3) Please provide a description of the vacant position, including the subject area, grade level, and a description of the entity’s inability to fill the position with a fully qualified individual.  \nName Digital or Original Signature Title Date  \nSECTION III: TO BE COMPLETED BY THE REGIONAL SUPERINTENDENT OF EDUCATION (CPS Talent Office for Chicago applicants)  \nAs administrator of this entity  \nI have verified this form is completed in its entirety, was submitted directly by the hiring district, and that the supervisor for this approval holds a PEL endorsed for general administration, principal, or superintendent.  \nName Digital or Original Signature Title Date  \nISBE 83-87 (12/22)  Print   Reset Form","cbCaicjoQBzMNepW","https://ap.wps.com/l/cbCaicjoQBzMNepW","pdf",324892,"English","# Applicant information\n# Employing school district section\n# Regional superintendent of education section","[{\"question\":\"What must the applicant complete first, and where is the completed form submitted?\",\"answer\":\"The applicant should complete Section I first, then send the form to the employing school district so Section II can be completed. The completed form and required documentation must be uploaded to ELIS or emailed to the provided licensure forms email address.\"},{\"question\":\"Who completes Section II, and what information is required?\",\"answer\":\"Section II is completed by the employing school district. It includes region/county/district or type/facility codes, district name, addresses, and supervisor contact and licensing information, plus a description of the vacant position and the entity’s inability to fill it with a fully qualified individual.\"},{\"question\":\"What verification does the Regional Superintendent of Education perform in Section III?\",\"answer\":\"The Regional Superintendent of Education (CPS Talent Office for Chicago applicants) verifies the form is fully completed, submitted directly by the hiring district, and that the supervisor holds a PEL endorsed for general administration, principal, or superintendent.\"}]","APPLICATION FOR SHORT-TERM APPROVAL FOR CAREER & TECHNICAL EDUCATION - SECTION I/II/III | PDF",1791601354]