NATIONAL BOARD CERTIFICATION
2006-2007 Application for
$5,000 Annual Award
Sponsored by the Iowa
Department of Education
DUE: Application
must be postmarked no later than May 1,
2007.
NOTE: The following information reflects the
current Iowa
The
Iowa Department of Education (DE) has received funding from the
Iowa
Code section 256.44(2) requires the DE to prorate the amount of the annual
award if the number of applicants exceeds the funds available. As such, NBC
teachers will receive an annual award of $5,000 or, if necessary, a lesser
prorated amount. Annual appropriations by the legislature will be required to
continue funding NBC award programs.
Under
state law, in order to qualify for the NBC annual award, a NBC teacher must:
·
Apply to the DE for the initial annual award within one year of
becoming eligible.
·
File an annual application by May 1 of each year.
·
Be an Iowa licensed teacher employed by an Iowa public school district
and receiving salary from the school district as a classroom teacher.
The
deadline for submitting applications to the DE for the NBC annual award during
the 2006-2007 fiscal year is May 1,
2007.
Questions?
Certification or Renewal of
Certification. Questions regarding the process required to receive NBC or renewal of
certification should be directed to:
National Board for Professional Teaching Standards
Telephone: (800) 228-3224
Web site: www.nbpts.org
State Annual Award. Questions regarding the application for the NBC
annual award should be directed to:
Jody Crane
Iowa Department of Education
e-mail: jody.crane@iowa.gov
Telephone: (515) 281‑3333
2006-2007 Application for $5,000 Annual Award
National Board Certification
FAXES NOT ACCEPTED ‑ PLEASE TYPE OR PRINT
Applicant teacher’s name
Teacher's
Social
Security number (required to issue state check)
Name of school district where teacher is
employed
Name of school building where teacher teaches
Address of school building
_
Work phone #
Principal’s name
Teacher’s home address
Home phone #
E‑mail address
Yes No I receive salary compensation from
the school district for providing classroom instruction to
students
in the school district. (In order to
be eligible, you must receive at least some portion of
your
salary for providing classroom instruction.)
Yes No I have a full-time teaching contract. If no,
please indicate percent of time your contract is for
% (If you possess less
than a full-time teaching contract, your annual
award will be prorated to reflect
the
type of contract; i.e., half-time, quarter-time, etc.)
I
have NBC in the following area
I
received certification in 19_____. I
have ______ year(s) remaining of certification.
Candidate’s
signature: I understand that my signature gives the DE permission to verify
periodically with the National Board for Professional Teaching Standards
(NBPTS) my NBC status. I understand that my signature below supersedes my
request for confidentiality indicated on my application to the NBPTS.
_______________________________ ___________________________
Candidate’s signature Date
________________________________ _________________________
Principal or superintendent’s signature Date
(Required to verify teacher is employed by an
instruction to students in the school
district.)
Hard copy delivered
or mailed to: Jody
Crane
Iowa
Department of Education
Second
Floor
Grimes State
Office Building