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Illinois 62777-0001  \n!73-05H  \nSTATE-APPROVED PROGRAM VERIFICATION FOR ELEMENTARY MATH SPECIALIST ONLY  \n\n| \u003Cbr>EDUCATOR EFFECTIVENESS DEPARTMENT |\n| --- |\n| PART I of VII – TO BE COMPLETED BY APPLICANT |\n\nAn applicant who has completed a state-approved program of preparation at a college or university in another state and is applying for an Illinois license shall use this form to verify completion of the preparation program, testing, and coursework. The applicant should provide all information requested in Part I of this form, and the college/university should complete the rest of the form as applicable. Please request [the college/university email the completed form to](the college/university email the completed form to licensureforms@isbe.net. Forms returned to the applicant or Regional)[ ](the college/university email the completed form to licensureforms@isbe.net. Forms returned to the applicant or Regional)[licensureforms@isbe.net](the college/university email the completed form to licensureforms@isbe.net. Forms returned to the applicant or Regional)[. Forms returned to the applicant or Regional](the college/university email the completed form to licensureforms@isbe.net. Forms returned to the applicant or Regional)[ ](the college/university email the completed form to licensureforms@isbe.net. Forms returned to the applicant or Regional)[Office of Education will not be honored. For candidates who completed an Illinois State-Approved program](Office of Education will not be honored. For candidates who completed an Illinois State-Approved program), please work directly with the institutionon program requirements through the entitlement process.  \n\n| APPLICANT'S NAME (Last, First, Middle, Maiden) | IEIN | DATE OF BIRTH |\n| --- | --- | --- |\n| ADDRESS (Street, City, State, ZIP Code) | TELEPHONE (Include Area Code) |  |\n|  | EMAIL |  |\n\nPlease send a copy of your [test scores to](test scores to licensureforms@isbe.net)[ ](test scores to licensureforms@isbe.net)[licensureforms@isbe.net](test scores to licensureforms@isbe.net).  \nPART II OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY  \nPlease verify that the above-named applicant has completed your state-approved program of preparation that, in your state, leads to a license comparable to elementary math specialist. The licensure officer, registrar, or other authorized official should provide the information requested below and return [the form to](the form to licensureforms@isbe.net. Forms)[ licensureforms@isbe.net](the form to licensureforms@isbe.net. Forms)[. Forms](the form to licensureforms@isbe.net. Forms) returned to the applicant or Regional Office of Education will not be honored.  \nAREA FOR WHICH APPLICATION IS BEING MADE  \n ELEMENTARY MATH SPECIALIST (Grade 1-6)— 18 semester hours of coursework in math, including:  \nYes  \nYes  \nYes  \n No Mathematical content knowledge  No Mathematical practices  \n No Development of mathematical understanding in elementary education  \n Yes  \n Yes  \n Yes  \n Yes  \n No Elementary mathematics pedagogy and assessment  \n No Leadership and adult learning  No Fieldwork  \n No Practicum  \nPART III OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY  \nCompletion of Illinois Coursework Verification: Please verify that the above-named applicant has completed the coursework listed below. Coursework requirements can be met by the applicant having completed coursework in each specific area or coursework content that was infused within the completed program.  \nYES  \nYES  \nYES  \nNO Methods of instruction of the exceptional child in cross-categorical special education Course Number/Title:  Date Completed:  \nNO Methods of reading and reading in the content area.  \nCourse Number/Title:  Date Completed: NO Instructional strategies for English Language Learners  \nCourse Number/Title:  Date Completed:  \n\n|  |\n| --- |\n|  |\n\nPART IV OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY  \nTESTING VERIFICA","cbCaipNMK17P0NAR","https://ap.wps.com/l/cbCaipNMK17P0NAR","pdf",560486,"English","# PART I of VII – TO BE COMPLETED BY APPLICANT\n# PART II OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY\n# PART III OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY\n# PART IV OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY\n# PART V OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY\n# PART VI OF VII – TO BE COMPLETED ONLY BY THE COLLEGE/UNIVERSITY","[{\"question\":\"What is this form used for?\",\"answer\":\"An applicant uses it to verify completion of a state-approved preparation program, testing, and coursework for an Illinois license as an Elementary Math Specialist.\"},{\"question\":\"Which sections must the applicant complete and which must the college or university complete?\",\"answer\":\"Part I is completed by the applicant, while Parts II through VI are completed only by the college/university and authorized officials.\"},{\"question\":\"Where should the completed form and required score reports be sent?\",\"answer\":\"The completed form and copies of score reports should be emailed to licensureforms@isbe.net, as instructed on the form.\"}]","STATE-APPROVED PROGRAM VERIFICATION FOR ELEMENTARY MATH SPECIALIST ONLY - PART I of VII - TO BE COMPLETED BY APPLICANT | PDF",1791601299]