School of Education Entitlement Form

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*Submission of this form begins the process of entitlement for licensure/endorsement. Filling out this form incorrectly or incompletely may delay your licensure.
*You will receive an e-mail from the Licensure Officer when your entitlement has posted.
*Official transcripts required by the ISBE are the responsibility of the candidate.
*Do not begin the application for your endorsement via ELIS. You must complete this form to indicate your request for entitlement. Upon email notification from the UIS Licensure Officer finish the application process via ELIS. If you have already begun the application process via ELIS in error, notify the Licensure Officer immediately.

Email *

CANDIDATE INFORMATION

Name (First, Last & previous) *

UIN (University ID #) *

IEIN (Illinois Educator Identification Number) *

Date of Birth (mm/dd/yyyy) *

YYYY

Phone number *

Please enter a phone number that has voicemail & is regularly checked.

Personal E-mail *

Do not enter your UIS e-mail. Enter an email address that you will check regularly after the semester ends.

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