Dpi form 1613-2026

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  1. Click ‘Get Form’ to open the dpi form 1613 in the editor.
  2. In Section I, provide your personal information. Fill in your Social Security Number, full name (Last, First, Middle), and the name of your employing school district or agency. Also, include the location of employment (school(s), city, state).
  3. Next, move to Section II for Employment History. List each position held within the district on a separate line. Include dates of employment (MM/YY), position details (e.g., Teacher, Counselor), and specify if you were a regular or substitute.
  4. Finally, in Section III, your employer must verify the information. They will need to sign and provide their title, contact number, and date signed to confirm accuracy.

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Warning signs on a background check include multiple periods of unexplained unemployment, inconsistent information, short periods of employment, minimal relevant job experience, no required education or training, professional license issues, dangerous criminal convictions, job-related criminal convictions, bad
The Department of Public Instruction is the state agency that advances public education and libraries in Wisconsin. Our mission is to advance equitable, transformative, and sustainable educational experiences that develop learners, schools, libraries, and communities in Wisconsin.
DPI reviews each paid application before making the final licensure decision. The length of this review process may vary due to the complexity of the transaction(s) and the volume of applications received. The process may take 6-8 weeks or more.
The Department of Public Instruction (DPI) is required by law to conduct a background check on all Wisconsin educator license applicants. The primary purpose of a background check is to determine if the applicant has engaged in any behavior that endangers the health, welfare, safety or education of pupils.

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