Minnesota Board of Teaching

REQUEST FOR PERMISSION TO HIRE

1500 Highway 36 West

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 states 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 center
Online learning school
Correctional facility
Other (please specify):
Chemical dependency program
_______________________________

TEACHER IDENTIFICATION INFORMATION

Name of Proposed Community Expert:
Grade Level(s)
Proposed Subject Area
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
When can the Board expect this individual to
be licensed?

Is this individual enrolled in a teacher preparation program?

Yes Where? __________________________________________________

No

What is the licensure field sought? ____________________________________________

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 years 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

in
Board

MCA-II Scores for 20__ - 20__ School Year

Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9

Grade 3
Reading
Writing
Mathematics
Teaching policy discussions and deliberations.

Grade 10

Grade 11

for use
future
of

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 Experts Signature:

Date:

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.
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.
Superintendents 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
Local Bargaining Unit Presidents Signature:

has no position regarding this application

No Bargaining Unit
Date:

*The Local Bargaining Unit may, if it desires, attach or submit an explanation of its position.

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
INDIVIDUALS 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 ATTACHMENTS

FOR PERMISSION TO HIRE A NONLICENSED COMMUNITY EXPERT
1.

Attach a resum 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 wasnt 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.