1500 Highway 36 West
Roseville, MN 55113-4266 / REQUEST FOR PERMISSION TO HIRE
A NONLICENSED COMMUNITY EXPERT / ED-02396-01
GENERAL INFORMATION AND INSTRUCTIONS: Minnesota Statute § 122A.25 permits the Board of Teaching to allow school districts and charter schools to hire nonlicensed community experts to teach on a limited basis. THIS REQUEST MUST BE APPROVED BY THE BOARD OF TEACHING PRIOR TO THE INDIVIDUAL BEGINS TO TEACH. By issuing this, the Board takes no position on whether this individual meets the state’s definition of “highly qualified.” Meeting the requirement for “highly qualified” is a separate issue and must be determined according to MDE guidelines. Also, the permission is only valid in the school district that requested the Nonlicensed Community Expert.
Submit completed form to the address at the top of this form or by fax at (651) 582-8872. For additional information, call (651) 582-8739. Incomplete applications will not be processed and will not go to the Board.
The Board of Teaching is authorized to grant Nonlicensed Community Expert permissions under MS 122A.25. In the interest of maintaining the integrity of the statute, applications that meet one or more of the following criteria will receive increased scrutiny from the Board of Teaching:
- Renewal applications
- Applications for core content areas, special education, or elementary positions
- Applications for full-time positions
- Applications indicating the individual is not working towards licensure (unless no correlating licensure field exists)
DISTRICT IDENTIFICATION INFORMATION
District Name / District Number
Address / City / State / Zip Code
Contact Administrator / Telephone Number (include area code) / FAX Number (include area code)
Administrator Email Address
SCHOOL IDENTIFICATION INFORMATION
District Type (check one):
State Approved Alternative Program:Traditional public school district
Alternative learning program Cooperative school district
Alternative learning center Intermediate school district
Contract alternative school Charter school
Care and treatment centerOnline learning school
Correctional facilityOther (please specify):
Chemical dependency program ______
TEACHER IDENTIFICATION INFORMATION
Name of Proposed Community Expert:
Proposed Subject Area / Grade Level(s)
Proposed Dates of Employment:
From: to: / Includes summer/extended school year?
Is this a first time application for this individual or a renewal in your district?
First Time Renewal If a renewal, how many times including this? ______
Has this individual been previously approved and employed as a Non-licensed Community Expert in another district?
Yes – Where? ______ No
Does this individual have a Degree or Specialized Training related to the Licensure Field?
Yes – In what content area? ______ No
Is this individual enrolled in a teacher preparation program?
Yes – Where? ______ No
What is the licensure field sought? ______/ When can the Board expect this individual to be licensed?
DISTRICT ADVERTISING INFORMATION
Provide a description of efforts to assign a licensed teacher to fill the position, including the exact dates and where the advertisement appeared for the posting of the position.
How many applications were received? / How many licensed teachers applied for the position?
If licensed teachers applied for the position, explain why a fully licensed teacher was not hired for this position.
DISTRICT PROPOSED ASSIGNMENT INFORMATION
How many non-licensed community experts have been approved for your district for the current school year?
What is the total number of teaching assignments for your district/charter school?
How many licensed teachers do you employ? / What is the total FTE% of this position?
Proposed level of compensation to the community expert? / How was this amount determined?
Using the chart below, provide data regarding last year’s student achievement levels at your school, including MCA-II scores for the correlating grade levels in all areas. Data should be reported by PERCENT PROFICIENT.
Note: The student achievement data will not be used as the basis for approval or denial of this application; the data will be gathered
for use in future Board of Teaching policy discussions and deliberations.
MCA-II Scores for 20__ - 20__ School Year
Grade 3 / Grade 4 / Grade 5 / Grade 6 / Grade 7 / Grade 8 / Grade 9 / Grade 10 / Grade 11
Reading
Writing
Mathematics
What additional information is relevant to this NLCE application?
Is this position funded by federal Title I dollars? (Note: This information will not be used as the basis for approval
APPLICATION ATTACHMENTS
Is a resume attached? Yes No
Is a transcript attached? Yes No
Are letters of reference attached? Yes No
Is a detailed explanation of the duties for the non-licensed community expert enclosed? Yes No
Is a letter explaining why the district or charter school believes this individual is qualified for the position enclosed? Yes No
Has the following information been provided: staff development, mentoring, and/or supervision? Yes No
Has a request to begin the assignment prior to the regularly scheduled board meeting been made? Yes No
If so, is the explanation for this request enclosed? Yes No
REQUIRED SIGNATURES
PROPOSED COMMUNITY EXPERT
I have read this application and I understand that the district is requesting permission to hire me as a non-licensed community expert.
Proposed Community Expert’s Signature:
Social Security Number:
Note: It is not mandatory to provide your Social Security Number. Failure to do so may result in misidentification but will not result in denial of this request. / Date:
SUPERINTENDENT / DIRECTOR AND SPONSOR
I understand that if this application is approved, the district is responsible for requiring a criminal background check as specified in Minnesota Statutes 123B.03 if this individual is a new employee. I further verify that the information contained in this application is true and accurate to the best of my knowledge and belief.
Superintendent’s Signature: / Date:
Charter School Director Signature: / Date:
Charter School Sponsor Representative Signature: / Date:
LOCAL BARGAINING UNIT PRESIDENT
I have reviewed this application and know that the district is requesting permission to hire this individual as a non-licensed community expert.*
The Local Bargaining Unit: supports does not support has no position regarding this application No Bargaining Unit
Local Bargaining Unit President’s Signature:
*The Local Bargaining Unit may, if it desires, attach or submit an explanation of its position. / Date:
REQUEST FOR PERMISSION TO HIRE
A NONLICENSED COMMUNITY EXPERT GUIDELINES
Minnesota Laws permit the Board of Teaching to allow school districts and charter schools to hire non-licensed community experts to teach on a limited basis. THIS REQUEST MUST BE APPROVED BY THE BOARD OF TEACHING PRIOR TO THE INDIVIDUAL’S BEGINNING TO TEACH. The form may be mailed, e-mailed, or faxed to the Minnesota Board of Teaching.
122A.25 Nonlicensed community experts; variance.
Subd. 2.Applications; criteria. The school district or charter school shall apply to the board of teaching for approval to hire non-licensed teaching personnel from the community. In approving or disapproving the application for each community expert, the board shall consider:
(1)the qualifications of the community person whom the district or charter school proposes to employ;
(2) the reasons for the need for a variance from the teacher licensure requirements;
(3) the district's efforts to obtain licensed teachers, who are acceptable to the school board, for the particular course or subject area or the charter school's efforts to obtain licensed teachers for the particular course or subject area;
(4)the amount of teaching time for which the community expert would be hired;
(5) the extent to which the district or charter school is utilizing other non-licensed community experts under this section;
(6)the nature of the community expert's proposed teaching responsibility; and
(7) the proposed level of compensation to the community expert.
REQUIRED APPLICATION ATTACHMENTSFOR PERMISSION TO HIRE A NONLICENSED COMMUNITY EXPERT
1.Attach a resumé of the individual the district or charter school proposes to hire as a non-licensed community expert. Include transcripts and recommendations that attest to the individual's expertise.
2. Attach a detailed explanation of the professional duties the non-licensed community expert is proposed to assume, including, when available, a position description.
3. Attach a description of the school's efforts to obtain a fully licensed teacher for this position. Include:
What reasonable efforts been made to assign an existing licensed teacher to fill the position
The exact dates you advertised and where the advertisement appeared. If websites were used, please use at least one of the following at a minimum: MASA, EdPost, Teacher-Teacher.com, MN Teacher Recruitment Center
Number of applications received
Number of licensed teachers that applied for the position
If licensed teachers applied for the position, why a fully licensed teacher wasn’t hired for this position
4.Attach a letter of explanation, signed by the school's hiring authority, of why the district or charter school believes this individual to be highly qualified to fill this position.
5.Attach an explanation of the support, staff development, mentoring, and/or supervision to be provided to assist the non-licensed community expert's successful fulfillment of the proposed professional duties.
6. If, for any reason, this individual is needed to begin this assignment before the next regularly scheduled Board of Teaching meeting, attach an explanation of the situation.