Idaho Code §33-1210 (5) Past Job Performance Request Form
According to Idaho Code §33-1210 (5), "A hiring district shall request from the office of the superintendent of public instruction verification of certification status, any past or pending violations of the professional code of ethics, any detail as to any prior or pending conditions placed upon a certificate holder's certificate, any prior or pending revocation, suspension or the existence of any prior letters of reprimand and information relating to section (11) of this section, if any, for applicants for certificated employment."

Please complete the following form to request past performance information as per Idaho Code §33-1210 (5).

School District Name
Your answer
Requester Name
Your answer
Requester Email Address
Your answer
Employee Legal Name
Your answer
Employee Identification - Date of Birth or EDU ID
Your answer
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