TEACHER EDUCATION PROGRAM CHECKLIST STUDENT INFORMATION NAME: NLU ID: NLU EMAIL ADRESS: REGISTRATION The information shown below is required as part of the registration process to start your Teacher Education Program. You will need this paperwork to begin field experiences in your first course. Background Check Please use the NLU UCIA Criminal Background Check Form (attached) and the FBI Form located here (http://www.accuratebiometrics.com/fingerprinting_FBI_Procedures_In_Person.html). Detailed instructions are attached to this document. TB Test Certificate of Completion with the Department of Children and Family Services Mandated Reporter Training (www.dcfstraining.org/manrep/index.jsp) PLEASE SUBMIT PAPERWORK TO: National Louis University Attention: Advising Office 122 South Michigan Chicago, IL 60603 INSTRUCTIONS AND ADDITIONAL FORMS Please review the attached forms for instructions to complete your Background Check, TB Test, and Mandated Reporter Training. Mandated Reporter Form Criminal Background and TB Test Form STUDENT TEACHING / FIELD EXPERIENCES APPLICATION DEADLINE Please contact Academic Advising to obtain the Student Teaching Application. Be sure to submit the application to Academic Advising no later than the deadline specified for your program here: (http://www.nl.edu/academics/colleges/nationalcollegeofeducation/studentteachingofe/deadlines/ ). Advising Office (main) 888-658-8632, option 2 Fax: 312-261-3044 advising@nl.edu Mandated Reporters Illinois Mandated Reporter law has expanded the definition of "Child Care Workers" to include any person employed to work directly with children in the course of their professional duties, Some schools are requiring their teacher candidates to have completed the DCFS Training for Mandated Reporters. The Illinois Department of Children and Family Services provides online training for Mandated Reporters. This no cost training consists of 13 pre-training questions, a self paced (60-90 minutes) training, 13 post-training questions and a certificate of completion. To complete the training, please log on to http://www.state.il.us/dcfs/index.shtml. Scroll down to "Features". Click onto the bullet "New Online Mandated Reporter Training". When you come to the question "Do you work in Illinois?" answer "Yes". Under "Which Mandated Reporter Category best fits your role?" select "Other" and write "Student Teacher" in the text box. For the question of "Employer" answer "National Louis University". Upon completion of the quiz at the end of the training you will receive the Certificate of Completion, which must be printed and submitted with the Practicum Il/Student Teaching Application. It is suggested that you make two copies of this certificate, one to retain with other important records as you might need to show the certificate at your school, and one to submit to NLU. The Acknowledgement of Mandated Reporter Status Form is also printed at this time; however you do not need to submit this form to NLU. Keep a copy of this form with your important records in case you are asked to present it to a school. CRIMINAL CHECKS, TB TESTS, AND MANDATED REPORTING Office of Field Experiences Field Experience Requirements (Observations, Practica, Internships, Student Teaching) NLU requires all candidates in programs that include time spent in an Illinois school to have an Illinois State Police Criminal background fingerprint check, a TB test, and a Certificate of Completion with the Department of Children and Family Services Mandated Reporter Training. A candidate with “no record,” a negative TB test, and a Certificate of Completion may be placed in a school. Some school districts require an additional background check prior to student teaching. NLU will not accept criminal background check reports from sources other than Accurate Biometrics. 1. Criminal background checks must be completed after registering and within the first week of classes at NLU. Please use the NLU UCIA Criminal Background Check form on page two of this document. Candidates cannot begin any field experience without a “passed” background check. Locations and fingerprinting times for Accurate Biometrics are posted on their website http://www.accuratebiometrics.com/fingerprint_Region_Map.asp Candidates are responsible for all fees and the results must be sent to the students' email or home address. 2. By the second week of classes, copies of the Illinois State Background check, TB test (Mantoux Method), and Certificate of Completion www.dcfstraining.org/manrep/ index.jsp must be submitted to the Academic Advisor by email or fax for forwarding to the Office of Field Experiences. Keep all originals with you when visiting schools. 3. A candidate may not be placed in any school if the background check determines that he or she has been convicted of criminal behavior that, by law, automatically prohibits him or her from attaining Illinois certification. The offenses that automatically prohibit certification include first degree murder, any Class X felony, juvenile pimping, soliciting a juvenile prostitute, exploitation of a child, obscenity, child pornography, criminal sexual assault, aggravated sexual criminal assault, criminal sexual abuse, aggravated criminal sexual abuse, some offenses set forth in the Cannabis Control Act, and some crimes defined in the Illinois Controlled Substances Act. 4. In the event that no district will accept a student because of his/her criminal history, the National College of Education will assist the student in choosing an alternative course of study. 5. In accordance with Illinois School Code (105 ILCS5/24-5), a school district might require a physical examination by a licensed physician. 4/8/2015 SDRB Phone 773-685-5699 Fax 773-685-5433 Web site: www.accuratebiometrics.com Accurate Biometrics 4849 N Milwaukee Suite 101 Chicago, IL 60630 National Louis University UCIA Thank you for choosing Accurate Biometrics for your fingerprinting needs. PLEASE PROVIDE THE FOLLOWING INFORMATION (PLEASE PRINT CLEARLY) Last name: First name: Middle Initial: Daytime Phone: Date of Birth: Sex: (circle one) Male Female (circle one) White Hispanic Asian American Indian/Alaskan Other REQUESTOR INFORMATION Agency Name: <not applicable> Street Address: City: Zip Code: I, the undersigned, authorize Accurate Biometrics to capture and transmit my fingerprints and above-noted demographic data to the Illinois State Police. I understand that the Illinois State Police will return the results of the fingerprint search to the Requestor listed above. Signature Date (Do Not Write Below This Line----For Office Use Only) F.P. Tech: Date Fingerprinted: TCN: