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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  \n83-90!  \nAPPLICATION FOR SHORT-TERM EMERGENCY APPROVAL IN EARLY CHILDHOOD SPECIAL EDUCATION, BLIND AND VISUALLY IMPAIRED, OR DEAF AND HARD OF HEARING  \nEDUCATOR EFFECTIVENESS DEPARTMENT  \n Early Childhood Special Education  Blind and Visually Impaired  Deaf and Hard of Hearing  \nIMPORTANT: You also must also online and pay the applicable fee through your Educator Licensure Information System (ELIS) account to be evaluated for this approval.  \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.  \n\n| SECTION I: APPLICANT INFORMATION |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| NAME (Last, First, Middle, Maiden) |  | IEIN |  | BIRTHDATE (mm/dd/yyyy) |\n| ADDRESS (Street Number, City, State, ZIP Code) |  | EMAIL |  |  |\n|  |  | HOME TELEPHONE (Include Area Code) |  |  |\n| SECTION II: REQUESTING TEACHER |  |  |  |  |\n| I verify that\u003Cbr>I am enrolled or intend to enroll in coursework at\u003Cbr>Typed or Printed Name of Applicant | as required as part of a state-approved educator preparation program.\u003Cbr>Date Digital or Original Signature of Applicant |  |  |  |\n| SECTION III: BRAILLE OR SIGN LANGUAGE PROFICIENCY |  |  |  |  |\n|  Braille |  |  Sign Language |  |  |\n| As the state-approved director of special education, I verify that the above-named individual has demonstrated proficiency in braille/sign language. |  |  |  |  |\n| Typed or Printed Name of Hiring District’s State-Approved Director of Special Education\u003Cbr>Date Digital or Original Signature of Hiring District’s\u003Cbr>State-Approved Director of Special Education\u003Cbr>See the Directory Listing of Special Education Service Administrators. |  |  |  |  |\n| SECTION IV: FOR EMPLOYING PUBLIC SCHOOL DISTRICT, COOPERATIVE, JOINT AGREEMENT, REGIONAL SUPERINTENDENTS, OR NONPUBLIC SPECIAL EDUCATION FACILITY |  |  |  |  |\n| REGION, COUNTY, DISTRICT, TYPE CODE/FACILITY CODE | DISTRICT NAME, COOPERATIVE OR JOINT AGREEMENT, EMPLOYING FACILITY |  |  |  |\n| ADDRESS (Street Number, City, State, ZIP Code) |  |  | TELEPHONE (Include Area Code) |  |\n\nAs administrator of this entity  \n1) I assure that supervision will be provided by an individual who holds a Professional Educator License (PEL) endorsed for director of special education pursuant to Section 25.48.  \n\n| SUPERVISOR NAME (Last, First, Middle, Maiden) | IEIN | CREDENTIALS |\n| --- | --- | --- |\n\n2) I assure that we have exhausted all recruitment efforts and have been unable to secure the services of an individual who is appropriately licensed for the teaching position in question.  \n\n| Name Original Signature | Title | Date |\n| --- | --- | --- |\n| SECTION V: TO BE COMPLETED BY THE REGIONAL SUPERINTENDENT OF EDUCATION (CPS Talent Office for Chicago applicants) |  |  |\n| As administrator of this entity |  |  |\n| • I have verified this form is completed in its entirety, and was submitted directly by the hiring district. |  |  |\n| • I have verified that the supervisor holds a PEL endorsed for director of special education.\u003Cbr>Name Original Signature |  | Date |\n|  | Title |  |\n\nISBE 83-90 (12/22)  \nSubmit via Email","cbCaiuyw8nIFBl0A","https://ap.wps.com/l/cbCaiuyw8nIFBl0A","pdf",326251,"English","## Application Overview and Submission Requirements\n## Section I: Applicant Information\n## Section II: Requesting Teacher\n## Section III: Braille or Sign Language Proficiency\n## Section IV: Employer Entity Assurances\n## Section V: Regional Superintendent of Education Verification","[{\"question\":\"What sections must the applicant complete and what happens next?\",\"answer\":\"The applicant completes Section I and sends the form to the school district or entity that will be hiring so Section II can be completed.\"},{\"question\":\"How is the form submitted to ELIS or to ISBE for evaluation?\",\"answer\":\"The completed form and required documentation must be uploaded into ELIS by the ROE/ISC, or emailed by the Chicago Public Schools (CPS) Talent Office to licensureforms@isbe.net. Submissions by the educator will not be honored.\"},{\"question\":\"Who verifies braille or sign language proficiency?\",\"answer\":\"The state-approved director of special education verifies that the named individual demonstrated proficiency in braille or sign language in Section III.\"}]","APPLICATION FOR SHORT-TERM EMERGENCY APPROVAL IN EARLY CHILDHOOD SPECIAL EDUCATION, BLIND AND VISUALLY IMPAIRED, OR DEAF AND HARD OF HEARING - Educator Effectiveness Department - ISBE 83-90 | PDF",1791601358]