Get Page 2b Pi-1602-el (rev. 02-15) Iii. School District Request ... - Dpi Wi

This guide provides step-by-step instructions on how to accurately complete the Page 2B PI-1602-EL (Rev. 02-15) form, specifically focused on the school district request for an emergency license or permit. By following these instructions, users can ensure they fill out the necessary information correctly and efficiently.

Follow the steps to successfully fill out the school district request form.

1. Click the ‘Get Form’ button to access the form and open it for editing.
2. Fill in the CESA number and LEA number as required in the respective fields.
3. Provide the requesting school district's name and phone area number.
4. Enter the mailing address of the school district, including the street or PO Box, city, ZIP code, and school number.
5. Indicate the name and location of the assignment for the school. If it's a charter school, select 'Yes' or 'No' as applicable.
6. List the subject(s) requested for the emergency permit. If it is a virtual charter school, check the provided box.
7. Specify the developmental level or grade(s) associated with the request.
8. Indicate if the position is funded under Title I or Title II-A by checking the appropriate boxes.
9. Detail the percentage of the school day teaching in emergency assignments and specify whether it is full-time or part-time.
10. Fill in the assignment begin and end dates in the specified format (Mo./Day/Yr.).
11. Determine if the request is for a long-term substitute emergency license/permit and check 'Yes' or 'No.'
12. Specify whether the request is a first-time or renewal request.
13. Provide the employee's full name and either their SSN or DPI educator file number.
14. Complete the NCLB 'highly qualified' questions to justify the request.
15. Add a detailed explanation and justification regarding the need for the request, including efforts to hire a fully licensed candidate.
16. Ensure the school district administrator or designee types their name clearly and adds their title, phone number, signature, email address, and the date signed.
17. After completing the form, save the changes, and consider downloading, printing, or sharing the document as required.

Complete your school district request form online today.