DETROIT PUBLIC SCHOOLS
Albert Kahn Building
7430 Second Avenue, 4th Floor
Detroit, MI 48202
APPLICATION FOR:
1.
2.
3.
Consideration For Eligibility In Limited License to Instruct (LLI) Eligibility Pool – Bilingual Education
Employment Under The Limited License Instructor (LLI) Credential
Teacher Preparation Position
SECTION I
PERSONAL INFORMATION:
Last Name
First Name
Street Address
City
(
MI
State
Zip
)
E-mail Address
Home Telephone
Social Security No.
SECTION II
IF ELIGIBLE FOR ADMISSION TO WAYNE STATE UNIVERSITY/COLLEGE
OF EDUCATION (AS PART OF THE LLI PROGRAM) I WISH TO BE CONSIDERED FOR:
You MUST indicate desired level of certification you will seek:
Indicate the Grade Level(s) you are interested in teaching:
 Secondary
 Elementary
_____ Preschool
_____ Elementary (K-5)
_____ Middle (6-8) _____ Secondary (7-12)
You MUST indicate target language area from the list below:
TARGET LANGUAGE
CONTENT AREA
 Arabic

Chaldean

Romanian
 Bengali

Hmong

Spanish
SECTION III
Please List Major:
You MUST list a Teachable Major:
(e.g. Elementary – Social Studies,
Middle – Science, Secondary – Math)
ACADEMIC PREPARATION
1. Type of Degree Earned
Year
Institution
Academic Major:
Minor:
2. Type of Degree Earned
Year
Grade Point Average:
Institution
Academic Major:
Minor:
Grade Point Average:
3. Are you currently enrolled in a college/university Teacher Preparation Program? (Please circle) *Yes
No
* If “Yes” A. Institution you are attending:
B.
C.
Program Major
D.
Level of Certification
Expected date of Completion
How did you hear about the LLI Program? (Check One):
DPS Employee ____
DPS website _____
Friend) _____
Wayne State Univ. _____
Other (Please Specify): ___________________________________________________________
SECTION IV
WORK EXPERIENCE (List Previous Employers and Dates of Employment beginning with most recent.
If
additional space is needed, please attach a supplementary sheet and use the same format.)
1. Employer:
2. Employer:
Job Title:
Job Title:
Dates of Employment: From:
To:
From:
Dates of Employment: From:
Reason for Leaving:
Reason for Leaving:
3. Employer:
4. Employer:
Job Title:
Job Title:
Dates of Employment: From:
To:
From:
Dates of Employment: From:
Reason for Leaving:
Reason for Leaving:
5. Employer:
6. Employer:
Job Title:
Job Title:
Dates of Employment: From:
To:
From:
Reason for Leaving:
Dates of Employment: From:
To:
From:
To:
From:
To:
From:
Reason for Leaving:
 Have you ever worked for Detroit Public Schools? Yes
No
(If yes, list File No.
)
 Employment gaps must be explained, please attach a supplemental sheet if needed.
 Please complete an attached Work Verification Form for each employer listed above (make copies of the Verification of
Work Form #4016b as needed)
SECTION V
An applicant or employee is entitled to reasonable accommodations if the accommodations are necessary to enable the
individual to perform the job. To obtain the accommodations, applicant must notify employer of his/her requirement
for accommodations at the time of application.
(Please circle your response)
Have you read the job posting, announcement, and description?
Yes
No
(Note: the announcement is attached)
Do you understand the essential job functions as outlined in the job descriptions?
Yes
No
Can you perform the essential job functions with or without accommodations?
Yes
No
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status?
Yes
No
(Proof of citizenship or immigration status will be required upon employment).
Have you ever been convicted for violation of any Federal, State, or local laws?
Yes
No
A “YES” answer does not automatically disqualify you from consideration for employment.
Are there any charges pending against you?
Yes
No
(If there are any charges pending against you, please provide a written explanation on a supplementary sheet and attach it to this
application).
I hereby affirm that there are no willful misrepresentations, omissions, or falsifications in the foregoing statements and answer to
questions. I am aware that should an investigation disclose any misrepresentation, omissions, or falsifications, the application
process may be terminated, or if I have already been hired, my employment may be terminated.
Please sign:
Date:
APPLICATION MATERIALS:

The following pages contain the application necessary to begin the process for
consideration for the Limited License to Instruct – Instructional Position
Applicant’s Check List
One (1) Application for an Instructional Position
Form PA 68/PA 83 (Conviction/No Conviction Statement)
Form 4068 Verification of Professional/Teaching Experience (Duplicate form as
needed)
5. Form 4016 Verification of Non-Teaching Experience (Duplicate form as needed)
1.
2.
3.
4.
Please remove the following section from this booklet. Complete the application and all
forms required and forward via mail or hand delivery to: Detroit Public Schools –
Welcome Center, 3031 West Grand Boulevard, Detroit, Michigan 48202.
United States Employment Authorization Information
For persons who are eligible for a contracted instructional position in a Detroit Public
Schools’ critical shortage area but who are not authorized to accept employment in the
United States, the Detroit Public Schools will cooperate in the submission of a NonImmigrant Worker (H-1B) petition. The applicant is responsible for the preparation of all
required forms. The Detroit Public Schools will provide the information required on the
petition and supplementary forms.
The Non-Immigrant Worker Petition will be submitted ONLY for persons who hold a valid
Michigan Teaching credential qualifying him/her to teach in a critical shortage area. Such
individuals in need of United States employment authorization should contact Ms. Barbara
Moten at (313) 873-7278.
Division of Human Resources
Office of Recruitment and Employment Services
Albert Kahn & Associates Building
7430 Second Avenue, 4th Floor
Detroit, MI 48202
Telephone (313) 873-7101
Fax (313) 873-7397
The Office of Recruitment and Employment Services staff is available to assist applicants
in processing the following:
1. Applications. All applicants are subject to a criminal history check by the Detroit Police
Department, the Michigan State Police and the Federal Bureau of Investigation (FBI).
Applicants who have had a Michigan State Police and F.B.I. criminal history check
conducted by another school district in the State of Michigan ONLY, within the last six
months prior to submitting the completed application must still complete the Detroit
Police Department criminal history check. There is no charge for this. You must,
however, complete the authorization/release to have the results of the Michigan State
Police and F.B.I. criminal history check forwarded from the previous school district to
Detroit Public Schools’ Office of Public Safety. All other applicants must have the
criminal background check completed by Detroit Public Schools’ Office of Public Safety.
An appointment and authorization form for this process may be obtained from the Office
of Recruitment and Employment Services at the time the application is submitted.
2. Transcripts of college records. An official transcript confirming a four-year Bachelor’s
Degree must be submitted with the completed application. Failure to comply will result
in termination from of the application process. Transcripts must be submitted from each
college/university where twenty (20) semester hours or more were earned.
Transcripts showing course work and degrees earned from countries outside of the United
States must be evaluated by one of the following agencies: You must ask for a detailed,
course-by-course evaluation including grades earned. Your Application will not be
accepted without this transcript.
World Education Services
PO Box 745
-orOld Chelsea Station
New York, NY 10011
(212) 966-6311
International Education Research Foundation
P.O. Box 66940
Los Angeles, CA 90066
(310) 390-6276 Fax: (310) 397-7686
-or-
Educational Credential Evaluators, Inc
P.O. Box 514070
Milwaukee, WI 53202
(414) 289-3400
NOTE: All course work and/or degrees earned outside of the United States, with the exception
of Puerto Rico, are considered foreign and must be evaluated by one of the above agencies.
3. Social Security Card. A social security card with the same name as that which is
designated on the application, to be copied by staff, must be presented at time of
application. In the event a social security card is not available, we will accept a print-out
form the Social Security Administration verifying the social security number and request
for a duplicate card.
4. References/Employment Verification. Work Verification Forms (Form 4016b) will be
mailed to former and current employers. To expedite the process, the applicant may want
to forewarn employer(s) that the work verifications should be returned as soon as
possible. The applicant should complete the top portion of each Work Verification
Form, complete with the employer’s mailing address, city, state and zip code.
(Note): Incomplete addresses or information may delay the processing of your
application. (Special Note): DO NOT MAIL OR GIVE THESE FORMS TO THE
EMPLOYER(S). RETURN THE FORMS WITH YOUR APPLICATION AND
THEY WILL BE MAILED FROM OUR EMPLOYMENT OFFICE. Failure to follow
this instruction will result in delaying the processing of your application.
5. Fingerprinting. Applicants for employment with Detroit Public Schools must be
fingerprinted as a condition of employment. You will be given a Fingerprint
Authorization Form and an appointment for fingerprinting at the appropriate stage of the
employment process. State of Michigan law prohibits the hiring of persons with
felony convictions.
6. Address Information. The applicant is responsible for keeping the Office of Recruitment
and Employment Services informed of his/her official, current residential address, any
change in name and a day-time phone number where you can be reached. The
application must show a permanent address; a Post Office Box is not acceptable as a
permanent address.
7. Requested Documentation. All required documents must be submitted with the
completed application. Incomplete information will not be considered.
8. Detroit Public School Property. Please be advised that all documents submitted,
including the application, become the property of Detroit Public Schools. No items can
be returned or duplicated. You are strongly encouraged to make copies of all materials,
including the application, for your personal records, prior to submitting them to the
Office of Recruitment and Employment Services.
9. Requirements. Requirements are subject to change without prior notification. Please
consult an Office of Recruitment and Employment Services staff member to confirm
information contained in this booklet prior to submitting your application.
Detroit Public Schools
Division of Human Resources
Application Process
Step 1: Applicant submits application and all requested documentation to Detroit Public
Schools – Welcome Center, New Center One, 3031 West Grand Boulevard, Detroit MI
48202.
Step 2: Upon receipt of your application, the Office of Recruitment and Employment
Services reviews application and documents for completeness.
Step 3: The Office of Recruitment and Employment Services notifies the applicant of
receipt of the application and any outstanding documents.
Step 4: Provided the application is complete and you meet the current qualifications for
the position in which you are applying, you will be scheduled for fingerprinting and a
medical evaluation as well as a preliminary interview. The Office of Recruitment and
Employment Services will contact you to schedule the aforementioned appointments.
Note: Preliminary interviews are conducted through the Division of Human
Resources (or designee) and are scheduled in accordance with District needs. The
interview will cover experience, education and general ability to perform the duties of the
position. This interview is designed to determine your suitability for employment with
the District.
Step 5: If you are found eligible for employment you will be notified and your name
will be placed in the District’s Eligibility Pool so that the principals can select and
arrange a personal interview with you. Furthermore, if you are ineligible for employment
our office will notify you via US mail.
Step 6: When openings occur, applicants who have completed a preliminary interview
and whose name has been added to the eligibility list are eligible to interview with
principals. The principal or designee will contact you to arrange the interview. The
principal makes the recommendation for selection to the Division of Human Resources.
Step 7: Upon receipt of the principal’s request for placement at his/her school site, the
Office of Placement will contact the applicant to offer the position to him/her.
Step 8: The Office of Placement is the ONLY official office to offer the following to
the selected applicant:
a. a contract
b. salary
c. advancement on the salary scale
. consideration for previous experience (according to District
guidelines) and an,
d. official employment starting date
CRITERIA FOR EVALUATION OF TEACHER CANDIDATES
LIMITED LICENSED INSTRUCTOR – BILINGUAL EDUCATION
Applicants applying for the Limited License to Instruct – Bilingual Education position must
possess the following:
1. A Bachelor’s Degree from a college or university accredited by the North Central
Association of Colleges and Secondary Schools or an equivalent agency.
2. A satisfactory college or university record, with an overall grade point average of at least
2.5.
3. Satisfactory references from current/former employers
4. Satisfactory results on the Writing Sample and/or Communication Skills Examination
5. Satisfactory interview recommendation from the curriculum supervisor or designee
6. Proficient knowledge in speaking and writing in a target language (Arabic, Bengali,
Chaldean, Hmog, Romanian, Spanish).
BILINGUAL EDUCATION APPLICANTION CHECKLIST
(For Current DPS Employees only)
Please submit with completed application:
 Completed Application

Current Resume

Two letters of recommendation from supervisors
(Note: Personal references are not acceptable)



Transcript(s) from university/college confirming four-year Bachelor’s Degree

A short essay explaining:
Why you are committed to teaching Detroit Public School students
Note:
YOUR APPLICATION WILL NOT BE PROCESSED OR CONSIDERED UNLESS SUPPORTING
DOCUMENTATION (INCLUDING CURRENT RESUME), IS SUBMITTED WITH COMPLETED
APPLICATION. PLEASE DO NOT HAVE TRANSCRIPTS FORWARDED IN ADVANCE. THEY WILL BE
RETURNED TO THE FORWARDING UNIVERSITY.