Wilmington Public Schools  EPIMS Report Form
The Massachusetts Department of Education maintains the Education Personnel Information Management System (EPIMS), requiring all districts to report pertinent information on employees.  

All staff are asked to fill in their information accurately for each of the required EPIMS fields.

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Email *
1. Last name – Enter your full legal last name. Teachers, please enter it as it appears on your teaching license. You can log in to ELAR to verify your information at http://www.doe.mass.edu/licensure. *
2. First Name – Enter your full legal first name; no nicknames, initials or abbreviated names *
3. Middle name – Enter your middle name or middle initial (use NMN for no middle name)
4. Gender *
5. Date of Birth *
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YYYY
6a. Ethnicity – Check the box that best reflects your understanding of your heritage. *
6b. Race - Select one or more races. *
Required
7. Date of Hire – Enter your most recent date of hire to work in the district. *
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8. License / Certification Number – Enter the number assigned by the DOE when you obtained your license. All licensed staff must enter this number. You can log in to ELAR to check this formation at http://www.doe.mass.edu/licensure. Non-licensed staff please enter "Not Applicable." *
9. Year began teaching – Enter the year you were hired into your first teaching position, in any district (not just Wilmington). Non-teachers please enter “Not Applicable." *
NOTE
IF YOU HAVE A MA ISSUED LICENSE, PLEASE SKIP TO #22.
10. Degree Type 1 – Select the first degree earned. If you do not have a college degree, select one of the non-degree options, or “000 Not Applicable.”
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11. Degree 1 Date: – Enter the date your first degree was awarded.
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12. Degree 1 Institution: – Enter the name and code for the college or university you attended to receive Degree 1. You can find a listing of Institution Codes in Appendix C of the Massachusetts EPIMS Appendices found here. (Note that this is a tabbed spreadsheet; navigate to the tab you need.) Enter “0000” if not applicable.
13. Degree 1 Subject – Enter your degree subject code. You can find a listing of Degree Subject Codes in Appendix D of the Massachusetts EPIMS Appendices found here here. (Note that this is a tabbed spreadsheet; navigate to the tab you need.) Enter “00” if not applicable.
14. Degree Type 2 – Select the second degree earned (for example a Bachelor’s degree). If you do not have a second degree, skip to #22.
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15. Degree 2 Date: – Enter the date Degree 2 was awarded.
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DD
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YYYY
16. Degree 2  Institution – Enter the name and code for the college or university you attended to receive Degree 2. You can find a listing of Institution Codes in Appendix C of the Massachusetts EPIMS Appendices found here. (Note that this is a tabbed spreadsheet; navigate to the tab you need.)
17. Degree 2 Subject – Write your degree subject code. You can find a listing of Degree Subject Codes in Appendix D of the Massachusetts EPIMS Appendices found here. (Note that this is a tabbed spreadsheet; navigate to the tab you need.)
18. Degree Type 3 – Select the third degree earned (for example a Master's degree). If you do not have a third degree, skip to #22.
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19. Degree 3 Date: – Enter the date Degree 3 was awarded.
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DD
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YYYY
20. Degree 3  Institution – Enter the name and code for the college or university you attended to receive Degree 3. You can find a listing of Institution Codes in Appendix C of the Massachusetts EPIMS Appendices found here. (Note that this is a tabbed spreadsheet; navigate to the tab you need.)
21. Degree 3 Subject – Write your degree subject code. You can find a listing of Degree Subject Codes in Appendix D of the Massachusetts EPIMS Appendices found here. (Note that this is a tabbed spreadsheet; navigate to the tab you need.)
22. School Code – Check the box for the school(s) in which you work. Check all that apply. *
Required
23. Employment Status *
24. Job Classification Code – Write your Job Classification Code. You can find a list of codes in Appendix E of the Massachusetts EPIMS Appendices found here.
25. Full Time Equivalent (FTE) – Select your full time equivalent percentage below.   If you are unsure, please check with your immediate supervisor.
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