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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  \n73-96!  \nREQUEST FOR SHORT-TERM APPROVAL FOR TEACHERS AT ALL GRADE LEVELS  \nEDUCATOR EFFECTIVENESS DEPARTMENT  \nINSTRUCTIONS: This approval is available for individuals who hold a valid Professional Educator License endorsed in a teaching field. The hiring school district will verify and complete Sections I-III below. Please forward the completed form to the local Regional Office of Education, where it will be added to the educator’s Educator Licensure Information System (ELIS) account. Chicago Public Schools (CPS) may submit the completed form to [licensureforms@isbe.net](licensureforms@isbe.net).  \n\n| SECTION I: APPLICANT INFORMATION |  |  |\n| --- | --- | --- |\n| NAME (Last, First, Middle, Maiden) | IEIN | HIRE DATE |\n| EDUCATOR HOLDS LICENSE IN | EXPIRATION DATE OF LICENSE |  |\n\n Educator earned Short-Term Approval by completing 9 semester hours of coursework in assigned area.  \n Educator earned Short-Term Approval by successfully passing the content test in the assigned area.  \n\n| SECTION II: EMPLOYING SCHOOL DISTRICT |  |\n| --- | --- |\n| REGION, COUNTY, DISTRICT, TYPE CODE/FACILITY CODE | DISTRICT NAME AND NUMBER |\n| ADDRESS (Street Number, City, State, ZIP Code) | TELEPHONE (include Area Code) |\n| SECTION III: ASSIGNMENT |  |\n\n1. Provide a description of the vacant position, including the subject area and the grade level of assignment.  \n\n| 2. Provide a description of the entity’s inability to fill the position with a fully qualified individual. |  |\n| --- | --- |\n| | By checking this box, the district assures that the employing entity has not honorably discharged anyone in the past year who was fully qualified for the position.\u003Cbr>By checking this box, the district assures it will provide the teacher to be employed with mentoring and high-quality professional development each year in the subject area to be taught. |\n| As administrator of this entity, I certify that the information above is true and correct. |  |\n| Name Digital of Original Signature Title Date |  |\n| SECTION IV: REGIONAL SUPERINTENDENT OF EDUCATION (CPS Talent Office for Chicago applicants) |  |\n| INSTRUCTIONS: Please sign below and add the completed form to the applicant’s ELIS account within 10 business days of the individual being hired, pursuant Part 25.430(d) .\u003Cbr>Region Regional Superintendent Digital or Original Signature Date |  |\n\nISBE 73-96 (12/22)  \nSubmit via Email","cbCaiiSNNXilNly8","https://ap.wps.com/l/cbCaiiSNNXilNly8","pdf",345980,"English","# SECTION I: APPLICANT INFORMATION\n# SECTION II: EMPLOYING SCHOOL DISTRICT\n# SECTION III: ASSIGNMENT\n## SECTION IV: REGIONAL SUPERINTENDENT OF EDUCATION","[{\"question\":\"Who is eligible to receive short-term approval on this form?\",\"answer\":\"Individuals must hold a valid Professional Educator License endorsed in a teaching field. The approval is intended for teachers at all grade levels.\"},{\"question\":\"What responsibilities does the hiring school district have?\",\"answer\":\"The hiring school district will verify and complete Sections I–III, then forward the completed form to the local Regional Office of Education for ELIS account entry.\"},{\"question\":\"What information is collected in Section III (Assignment)?\",\"answer\":\"Section III requires a description of the vacant position, including subject area and grade level, plus a description of why the position cannot be filled by a fully qualified individual.\"}]","REQUEST FOR SHORT-TERM APPROVAL FOR TEACHERS AT ALL GRADE LEVELS - Educator Effectiveness Department - ISBE 73-96 | PDF",1791601325]