Conditional Permit Request
Please complete the following form to request a conditional permit for the 2020-2021 school year. A conditional permit allows someone to sign a contract and work as a certified staff member with a location (district) limitation and deficiencies that have not been met to be issued a regular teaching certificate such as a content test. Conditional permits are can only be requested for employment in a Nebraska school district. Once all deficiencies have been satisfied, a regular certificate will be issued without the need to apply and pay a fee unless the conditional permit has been invalidated by the expiration date.
First Name *
Last Name *
Anticipated Start Date *
Reason for the Conditional Request *
Nebraska School System Requesting a Conditional Permit *
College or University where the applicant completed their educator preparation training *
Name of Person Requesting the Conditional *
Title of Person Requesting the Conditional *
Email of Person Requesting the Conditional *
Phone Number of Person Requesting the Conditional
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