ILLINOIS INSTITUTION OF HIGHER EDUCATION APPROVED COURSEWORK VERIFICATION - 80-10

Oct 10, 2026

Illinois Institution of Higher Education Approved Coursework Verification form for subsequent teaching endorsement and approval. A licensed applicant seeking a subsequent endorsement uses this document when requested by the Illinois State Board of Education (ISBE) to confirm completion of the proper coursework sequence required by the institution. Applicants fill in Applicant Information and Endorsement Information, while the institution completes remaining sections and uploads the form to the Educator Licensure System (ELIS) via an authorized representative.

LanguageEnglish

CategoryExam

FormatPDF

Pages1

Reading Time3 min

AccessFree to download

Applicant Information

Institution of Higher Education Information

Endorsement and Approval Information

Course Information

Signature and Acknowledgment

Use your "Mouse" or "Tab" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click Print button. 100 North First Street, E-240 Springfield, Illinois 62777-0001 !80-10 ILLINOIS INSTITUTION OF HIGHER EDUCATION APPROVED COURSEWORK VERIFICATION EDUCATOR EFFECTIVENESS DEPARTMENT This form is for subsequent teaching endorsement and approval coursework verification. A licensed applicant applying for a subsequent endorsement and approval who completed endorsement coursework at an Illinois institution of higher education shall use this form only at the request of the Illinois State Board of Educations (ISBE) to verify that the applicant has completed the proper sequence of course required by the institution for the endorsement and approval sought. The applicant should complete the Applicant Information and Endorsement Information section, and the institution will complete the rest of the form. The form will be uploaded directly into the applicant's Educator Licensure System (ELIS) account by a representative of the institution. Forms submitted by the applicant directly will not be honored. | APPLICANT INFORMATION | | | | --- | --- | --- | | APPLICANT'S NAME (Last, First, Middle, Maiden) | IEIN | BIRTHDATE (mm/dd/yyyy) | | PHONE (Include Area Code) | EMAIL | | | INSTITUTION OF HIGHER EDUCATION INFORMATION | | | --- | --- | | NAME OF INSTITUTION | NAME/TITLE AUTHORIZED OFFICIAL | | CONTACT PHONE (Include Area Code) | EMAIL | | ENDORSEMENT AND APPROVAL INFORMATION (To be completed by the Applicant) | | | --- | --- | | ENDORSEMENT AND APPROVAL SOUGHT (e.g. , English Language Arts) | AREAS OF DEFICIENCY | COURSE INFORMATION (To be completed by the university) TITLE OF COURSE COURSE NUMBER SEMESTER TAKEN _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ _________________________________________________________________ _______________________ ______________________ SIGNATURE AND ACKNOWLEDGMENT I ACKNOWLEDGE THAT THE AFOREMENTIONED INDIVIDUAL HAS COMPLETED ALL REQUIRED COURSEWORK LEADING TO THE ENDORSEMENT AND APPROVAL NAMED ABOVE AND THAT ALL COURSEWORK HAS BEEN PASSED WITH A GRADE OF C-OR HIGHER. By signing this form, I certify the information provided is true and correct. Digital or Original Signature of Authorized Official Date

FAQs

Who should use the form for subsequent teaching endorsement and approval?

A licensed applicant applying for a subsequent endorsement and approval who completed endorsement coursework at an Illinois higher education institution should use the form only when requested by the ISBE.

What sections must be completed by the applicant vs. the institution?

The applicant completes the Applicant Information and Endorsement Information sections, while the institution completes the rest of the form.

How is the completed form submitted and will applicant-submitted forms be accepted?

A representative of the institution uploads the form directly into the applicant’s Educator Licensure System (ELIS) account. Forms submitted directly by the applicant will not be honored.

Oct 10, 2026

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