Get Dpi 1622 Fillable Form

Filling out the Dpi 1622 fillable form online can be a straightforward process if you follow the right steps. This guide provides clear and detailed instructions to assist users in successfully completing the form for obtaining a one-year administrator license.

Follow the steps to complete the Dpi 1622 fillable form online.

1. Click the ‘Get Form’ button to access the fillable Dpi 1622 form and open it in your preferred editor.
2. Begin by filling out the 'District/License Information' section. Enter the name of the school district requesting the one-year administrator license, followed by the telephone area code and number. Provide the mailing address, including street or P.O. Box, city, CESA number, LEA code, and zip code.
3. In the 'Administrator License Requested' section, check all applicable boxes to indicate which first or second one-year licenses are being requested.
4. Complete the field for the 'License Begin Date' by entering the hire date in the format of Month/Day/Year.
5. Fill in the 'Employee's Legal Name' section with the first, middle, and last names of the applicant.
6. Input the social security number in the designated field. Remember this information is collected solely for validation purposes.
7. Obtain the required signature from a school board member and include the date signed in the specified format of Month/Day/Year.
8. As a crucial step, ensure that a plan from a state-approved educator preparation program is attached, confirming that the applicant can complete the program by the required date.
9. Once all fields are completed, you can save changes to the form. Additionally, options will be available to download, print, or share the completed form as needed.

Begin filling out your Dpi 1622 Fillable Form online today to streamline your application process!