Emergency Teaching Permit 23-24SY
Purpose:  The purpose of this form is for a school district to apply for an Emergency Teaching Permit for an individual teaching in an area for which he/she is not licensed under the ADE Rules Governing Educator Licensure.  The Emergency Teaching Permit should be used for a teaching vacancy, not for a temporary long-term substitute.

Who May Apply: This form must be completed by a superintendent or a superintendent’s designee and not by the individual who will be teaching under the permit.

Identification No: The individual’s AELS Case ID (CID) number is required. This number will be generated upon completion of the  background checks. The AELS CID number for an individual may be viewed on the AELS website at:  https://adeaels.arkansas.gov/AelsWeb/Search.aspx

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Email *
Do you have Act 1240 waivers for Licensure?  If yes, an ETP may not be necessary. For questions, contact Melissa Jacks in Licensure.                                         *
Required
School District *
School *

Effective Date
 *
MM
/
DD
/
YYYY
Last Name *
First Name *
AELS CID Number *
Subject Area & Grade Level *
Highest Degree Level *
Educator must meet at least one of these requirements *
Applicant has relevant work experience in the content area. *
To be eligible, the District must have on file verification of the applicant's relevant work experience in the content area. Can you verify this to be true?
 *
Reason ETP is needed *
If No Teacher of Record was selected is this a True Vacancy, New Section, or Other?  Brief Explanation 
 *
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