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It requires applicants to complete all typed or ink fields, list attachments by question number, and provide signatures and dates before submission. The form sets minimum eligibility criteria for Illinois residency and relevant degrees while restricting current employment by named education and special education entities. 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Incomplete applications will not be considered. If attachments are included, please indicate by numbering the attachment by referencing it to the corresponding question. All applications must be signed and dated. Please forward to the Due Process Coordinator at the above address. NOTE: Remember to return all attachments with this questionnaire.  \nMINIMUM QUALIFICATIONS: If you do not meet these qualifications, do not proceed with the application.  \n• Must be an Illinois resident  \n• Must possess at least a master’s level degree, a juris doctor degree, or a bachelor’s degree with relevant experience.  \n• The statute prohibits hearing officers from being current employees of the following entities: Illinois State Board of Education, local school districts, special education cooperatives, regional service areas or centers, regional educational cooperatives, state operated elementary and secondary schools, or private providers of special education facilities or programs.  \nPART A-PERSONAL BACKGROUND  \n\n| NAME OF APPLICANT | NAME OF SCHOOL DISTRICT(S) YOU CURRENTLY RESIDE IN |  |\n| --- | --- | --- |\n| RESIDENTIAL ADDRESS (Street, City, State, ZIP Code) | HOME TELEPHONE (Include Area Code) | COUNTY |\n| WORK ADDRESS (Street, City, State, ZIP Code) | WORK TELEPHONE (Include Area Code) | EMAIL(S) |\n\nPART B-EDUCATIONAL BACKGROUND  \n\n| SCHOOL | NAME OF SCHOOL | CITY | STATE | DATES\u003Cbr>ATTENDED |  | MAJOR OF\u003Cbr>FIELD | DIPLOMA\u003Cbr>OR\u003Cbr>DEGREE |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  | From | To |  |  |\n| College or\u003Cbr>University |  |  |  |  |  |  |  |\n| Graduate |  |  |  |  |  |  |  |\n| Other |  |  |  |  |  |  |  |\n\nOTHER HONORS, AWARDS, etc.  \n1. Describe any other formal education or courses.  \n2. List all seminars, symposia, lectures , or professional meetings on special education, disability issues, law, policy, services and service systems, and any other relevant topics that you have attended in the past five years. For each, state date, place, sponsoring organization, and subject(s) .  \n3. State any professional development activities over the last five years in which you have participated as speaker, lecturer, panelist, etc. , identifying your role and subject(s) or topic(s) .  \n4. If you have ever taught at a college or university, state school(s); date(s); subject(s); and your title, status, or role.  \n5. Describe any civic, philanthropic, community, social , or public service activities involving children in the past five years including any posts or offices held, and honors or awards received.  \nPART C-EMPLOYMENT BACKGROUND  \n1. List any current or prior administrative hearing officer experience. State the reasons or circumstances for leaving this office or “N/A”  \nif still employed. Check “F” or “P” for full-or part-time.  \n\n| F |  |  | P |  |  | SPONSORING AGENCY | APPROXIMATE\u003Cbr>NUMBER OF\u003Cbr>HEARINGS | DATES\u003Cbr>OF\u003Cbr>SERVICE | REASON FOR\u003Cbr>LEAVING |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |\n| |  |  | |  |  |  |  |  |  |\n| |  |  | |  |  |  |  |  |  |\n\n2. Please complete work history beginning with your current or last employer.  \n\n| NAME OF CURRENT OR LAST EMPLOYER | EMPLOYED FROM\u003Cbr>Mo. Yr. | EMPLOYED TO\u003Cbr>Mo. Yr. |\n| --- | --- | --- |\n| ADDRESS (Street, City, State, ZIP Code) | NAME/TITLE OF SUPERVISOR |  |\n| POSITION TITLE | TELEPHONE NUMBER OF SUPERVISOR (Include Area Code) |  |\n| DESCRIPTION OF DUTIES | ADDRESS OF SUPERVISOR, IF DIFFERENT THAN ABOVE |  |\n| Please complete work history of your past professional positions. |  |  |\n| NAME OF PREVIOUS EMPLOYER | EMPLOYED FROM\u003Cbr>Mo. Yr. | EMPLOYED TO\u003Cbr>Mo. Yr. |\n| AD","cbCaisTrlulGsz47","https://ap.wps.com/l/cbCaisTrlulGsz47","pdf",393651,"English","# Hearing Officer Application\n## Minimum Qualifications\n## Part A - Personal Background\n## Part B - Educational Background\n## Part C - Employment Background\n## Conflict of Interest and Eligibility Questions","[{\"question\":\"What are the submission requirements for the hearing officer application?\",\"answer\":\"Complete all areas of the application blank as typed or in blue or black ink. Include attachments by numbering them to the corresponding question, and ensure the application is signed and dated before forwarding it to the Due Process Coordinator.\"},{\"question\":\"What are the minimum qualifications to proceed with the application?\",\"answer\":\"Applicants must be Illinois residents and hold at least a master’s level degree, a juris doctor degree, or a bachelor’s degree with relevant experience. The application also notes statutory restrictions on current employment with specified education and special education entities.\"},{\"question\":\"Which information must be provided regarding educational and professional background?\",\"answer\":\"The application requests educational history including schools, dates attended, majors/fields, and degrees, plus additional education or courses and participation in relevant seminars or professional meetings. It also requires employment history, administrative hearing officer experience, and reasons for leaving if applicable.\"}]","HEARING OFFICER APPLICATION - Special Education Department | PDF",1791599085,15]