Application For Conversion From An Initial To A Standard Or Master Educator License (Page 3 of 3) in pdf

Application For Conversion From An Initial To A Standard Or Master Educator License Page 3

SECTION II: To be completed by your non-public or out-of-state school Administrator.

I hereby verify that the applicant served successfully as a teacher in this school district between

the following dates: (Three years of experience in an Iowa nonpublic school or out-of-state school are

necessary to convert the initial license to a standard license.

__________-__________-__________

month

day

year

month

day

year

______________________________

__________________

_______________

School District/AEA

City

State

District(s) taught: _______________________________________________________________________

List specific subjects taught: ______________________________________________________________

_____________________________________________________________________________________

____________________________________

_________________________________

Signature of Administrator

Date

______________________________________________ _______________________________________

Typed or Printed Name of Administrator

Folder # (Iowa administrators only)

(If teaching experience is completed in more than one school district, each additional school district must verify

experience in that district. The district’s administrator should use official school letterhead to document

the dates of contracted teaching experience in that district.)

Master Educator Candidates Only:

Please convert my license to a Master Educator License.

I have at least five years of teaching experience documented.

Yes

No I submitted documentation of out-of-state experience with my original Iowa teaching application.

I have included official transcripts showing the completion of my Master’s Degree with this application.

I submitted my official Master’s Degree transcripts with my original application.

Application For Conversion From An Initial To A Standard Or Master Educator License Page 3