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Part I is completed by the educator and requires applicant identification, IEIN, birthday, address, telephone, and email details. Part II is completed by the school district, collecting district name and number, contact information, authorized official name and title, and performance-evaluation timing and ratings. Submission must be sent directly to the Illinois State Board of Education; forms returned to the applicant are not honored.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/verification-of-teaching-experience-principal-endorsement-only/535907/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/verification-of-teaching-experience-principal-endorsement-only/535907.png","ImageObject",300,407,{"name":92,"@type":93},"Chumphorn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-10","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":39},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What is the purpose of this form?","Question",{"text":112,"@type":113},"It verifies an applicant’s teaching experience for an Illinois Principal credential, for principal endorsement only, using educator and school-district completed sections.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Who completes Part I and what information is required?",{"text":117,"@type":113},"The educator completes Part I, providing applicant name, IEIN, birthday, address, telephone, and email.",{"name":119,"@type":110,"acceptedAnswer":120},"How should the completed form and documents be submitted?",{"text":121,"@type":113},"The school district must email the completed form and required documentation directly to the address listed or mail it to the provided state address; forms returned to the applicant will not be honored.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},535907,1791709911,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":39,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81,"preview_page_count":4},2336475401981,"https://ap-avatar.wpscdn.com/avatar/22000c94efd8d5204d?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786935347598174694","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.   \n100 North First Street, E-240 Springfield, Illinois 62777-0001  \n!80-08  \nVERIFICATION OF TEACHING EXPERIENCE (PRINCIPAL ENDORSEMENT ONLY  \nEDUCATOR EFFECTIVENESS DEPARTMENT  \nPART I – TO BE COMPLETED BY THE EDUCATOR  \nAn applicant applying for an Illinois Principal credential shall use this form to verify teaching experience. Please request that the school district forward the completed form directly to the Illinois State Board of Education with any necessary documentation. Forms returned to the applicant will not be honored.  \n\n| APPLICANT NAME (Last Name, First, Middle, Maiden) | IEIN | BIRTHDAY (mm/dd/yyyy) |\n| --- | --- | --- |\n| ADDRESS (Street, City, State, ZIP Code) | TELEPHONE (Include Area Code) | EMAIL |\n\n\n| PART II – TO BE COMPLETED BY THE SCHOOL DISTRICT |  |\n| --- | --- |\n| Please email this completed form and any required documentation to l[icensureforms@isbe.net](icensureforms@isbe.net) or mail to the address above. Forms returned to the applicant will not be honored. |  |\n| DISTRICT NAME AND NUMBER | TELEPHONE (Include Area Code) |\n| ADDRESS (Street, City, State, ZIP Code) | EMAIL |\n| NAME OF AUTHORIZED OFFICIAL | TITLE |\n\n*A proficient or equivalent rating is considered the second-highest rating an educator can receive on a scale equivalent to excellent, proficient, needs improvement, and unsatisfactory. An excellent or equivalent rating is considered the highest rating an educator can receive.  \n** School support personnel experience can be acquired while serving as a school counselor, school psychologist, speech language pathologist (non-teaching), school nurse, school social worker, or school marriage and family counselor.  \nPlease check the appropriate box below:  \nFour years of school support personnel or teaching experience (Must attach letter of experience. )  \nThree years of school support personnel or teaching experience PLUS a proficient rating on the three annual performance evaluations (Must attach a letter of experience. )  \nTwo years of school support personnel or teaching experience PLUS an excellent rating on the two performance evaluations (Must attach a letter of experience. )  \nThe above named applicant has not met any of the requirements listed above.  \nDate of performance evaluations:   Rating received on evaluations:    \nI certify the above-named individual has earned the performance rating and school support personnel/teaching experience indicated by the check box above.  \nSignature of Authorized Official Date","cbCaivUUlbUcMZPU","https://ap.wps.com/l/cbCaivUUlbUcMZPU","pdf",451404,"English","# Part I – To be completed by the Educator\n## Applicant information fields\n# Part II – To be completed by the School District\n## District and authorized official details\n## Experience and rating checkboxes\n## Certification and signature","[{\"question\":\"What is the purpose of this form?\",\"answer\":\"It verifies an applicant’s teaching experience for an Illinois Principal credential, for principal endorsement only, using educator and school-district completed sections.\"},{\"question\":\"Who completes Part I and what information is required?\",\"answer\":\"The educator completes Part I, providing applicant name, IEIN, birthday, address, telephone, and email.\"},{\"question\":\"How should the completed form and documents be submitted?\",\"answer\":\"The school district must email the completed form and required documentation directly to the address listed or mail it to the provided state address; forms returned to the applicant will not be honored.\"}]","VERIFICATION OF TEACHING EXPERIENCE - Principal Endorsement Only | PDF",1791601337]