1. I. Eligibility Criteria for Application
    2. II. Distribution of Dale Hickam Excellent Teaching Program Funds
    3. Application for ETP Fee Subsidy
    4. On-line Application
    5. Paper Application
      1. Salary Bonuses
      2. Mentoring Bonuses
    6. Payment of $150 Portfolio Preparation Incentive
    7. III. Withdrawal and Repayment Procedures
      1. Written notices of withdrawal from the program must be sent to:
      2. APPLY April 1, 2003 through June 30, 2003
      3. February 16, 2004
      4. APPLY July 1, 2003 through September 23, 2003
      5. before
      6. July 1-September 30, 2003
      7. December 31, 2003 January 1-June 30, 2004
      8. APPLY October 1, 2002 through December 31, 2002
      9. October 1-December 31, 2003
      10. January 31, 2004 January 1-June 30, 2004
      11. April 16, 2004
      12. CONDITIONS
      13. PLEASE READ CAREFULLY Amount Due to Florida Department of Education
      14. Written Notification to NBPTS
      15. After
      16. Amount Due to Florida
      17. Department of Education
      18. $70 February 16, 2004 $2,070
      19. taking written assessment.
      20. $70 March 16, 2004 $2,070
      21. $70 April 16, 2004 $2,070
      22. $2,070
      23. 200 before and
      24. photocopy.
      25. Dale Hickam Excellent Teaching Program Florida Department of Education
      26. June 1, 2003-Nov. 15, 2003
      27. February 2004-March 2004
      28. April 1, 2004-Mid-June 2004
      29. Certification Code
    8. NBPTS Certification Areas 2003-2004
  1. NOTE:
      1. Casselberry – 0600
      2. Coral Springs - 5104
      3. Coral Springs-0013
      4. Davie – 9074
      5. Fort Myers – 0621
      6. Gainesville - 0629
      7. Hollywood - 9077
      8. Jacksonville - 0601
      9. Maitland – 5836
      10. Miami – 7512
      11. Miami – 7561
      12. Pensacola – 7725
      13. Sarasota - 0623
      14. Tampa - 0657
      15. Tampa - 7562
      16. Temple Terrace - 0620

DALE HICKAM EXCELLENT TEACHING TECHNICAL ASSISTANCE INFORMATION
I. Eligibility Criteria for Application
Each Dale Hickam Excellent Teaching Program/NBPTS participant must
:
1.
Meet NBPTS prerequisites that include:
Possess a baccalaureate degree from an accredited institution.
?
Complete three years of successful teaching experience
(or as a counselor if
applying for the ECYA/School Counseling certificate)
at one or more early
childhood, elementary, middle, or secondary schools.
?
Submit proof of holding a valid state teaching license for those three years of teaching
experience or counseling (if no license was required, proof must be submitted that the
school(s) was recognized and approved to operate by the state).
2.
?
Meet the satisfactory teaching performance requirement pursuant to Section 1012.34, Florida
Statutes.
3.
Pay
$230
(10% of
$2,300
) of the application fee.
4.
?
Agree to participate in the NBPTS program during the school year in which the subsidy is paid,
sign the promissory note for fee repayment, and meet
all deadlines
and requirements
established by the district, state, and NBPTS for participation.
NOTE: Education and employment verification forms are sent to each applicant from the NBPTS
upon receipt of the certification application. These forms must be completed and returned to the
NBPTS, as instructed. Receipt of employment verification forms triggers the portfolio due date
and the assessment date.
II. Distribution of Dale Hickam Excellent Teaching Program Funds
Application for ETP Fee Subsidy
?
District/Developmental Research School (DRS) contact submits to Department of Education (DOE) for
each applicant the following:
On-line Application
1.
Copy of
on-line
application;
2.
Participant’s
$230
payment to NBPTS;
3.
?
Original Fee Subsidy Information Form (green) and
one
copy with required superintendent/DRS
director signature; and
4.
?
Original, signed, Letter of Intent/Promissory Note (blue) and
one
copy for repayment of fees to
the State of Florida if program is
not completed
as specified or if the
one-year
teaching
requirement is not fulfilled.
Paper Application
1.
Original NBPTS application;
2.
Participant’s
$230
payment to NBPTS;
3.
?
Original DOE applicant Fee Subsidy Information Form (green) and
one
copy with required
superintendent/DRS director signature; and
4.
?
Original,
signed
, Letter of Intent/Promissory Note (blue) and
one
copy for repayment of fees to
the State of Florida if the program is
not completed
as specified or if the
one-year
teaching
requirement is not fulfilled.

?
The Department of Education processes documents and submits to the NBPTS along with the
$2,070
fee subsidy for each applicant.
?
Whether applying on-line or on paper, the applicant should carefully review the question that
asks permission to release the applicant’s name to “third party agencies.” “Third party” refers
to local, district, state, and federal agencies that provide incentives, assistance, and rewards
to applicants seeking National Board Certification. By agreeing to release the information, an
applicant may take full advantage of the assistance provided by these agencies. Additionally,
it will allow the Dale Hickam Excellent Teaching Program staff to quickly and accurately
process applications.
Neither the National Board for Professional Teaching Standards nor the Dale Hickam Excellent
Teaching Program will release an applicant’s information to any parties not affiliated with the
National Board process.
Salary Bonuses
?
District/DRS contact submits to the Dale Hickam Excellent Teaching Program (ETP) a
salary bonus
request form for each qualified National Board Certified Teacher. ETP processes for
payment.
?
Upon receipt of payment of salary bonuses, District/DRS finance officer calculates payroll-withholding
deductions such as taxes, social security, and other deductions as appropriate and pays the
appropriate and pays remaining bonus to each qualified National Board Certified Teacher.
Mentoring Bonuses
?
District/DRS contact submits to the Dale Hickam Excellent Teaching Program a
mentoring bonus
request form for each qualified National Board Certified Teacher. ETP processes for payment.
?
Upon receipt of payment of mentoring bonuses, District/DRS finance officer calculates payroll-
withholding deductions such as taxes, social security, and other deductions as appropriate, and pays
the remaining mentoring bonus to each qualified National Board Certified Teacher.
Payment of $150 Portfolio Preparation Incentive
DOE verifies current NBPTS applicants and mails to each the
$150
portfolio preparation incentive.
?
The portfolio incentive is
not
considered a reimbursement.
It is provided to help defray the costs of
preparing the portfolio.
III. Withdrawal and Repayment Procedures
?
Each NBPTS applicant who
withdraws
from the NBPTS program
after
payment of the State of Florida
fee subsidy
MUST
notify the
NBPTS, the DOE,
and the
district contact immediately,
in writing, of
such withdrawal.
The applicant forfeits the $230 individual application fee payment and shall
repay the amount of the fee subsidy not refunded to the State of Florida,
pursuant to the NBPTS
third party refund policy.
2

NBPTS 2002-2003 Refund Policy:
State of Florida (third party) shall notify NBPTS
of the withdrawal. If the withdrawal is
prior to
the portfolio due date, the State of
Florida will be paid a
$2,000
refund by the NBPTS and the applicant will repay the
State
$70
. If the withdrawal from the program is
after
the portfolio due date, the
NBPTS does not refund any fees and the applicant must repay the entire
$2,070
.
?
An NBPTS applicant who withdraws from the program or
does not complete
the program in
one year
as specified in the
Letter of Intent/Promissory Note
,
must
repay the
$2,070
fee subsidy to the State
of Florida. An applicant who
completes
the program and is awarded the NBPTS certification but
does
not teach
in a public school in Florida the year
immediately
following completion of the program shall
repay the State of Florida
$2,070
.
?
An NBPTS applicant who
completes
the program but
is not
awarded NBPTS certification shall repay
the
$2,070
if the individual
does not
teach in a Florida public school the year
immediately following
completion of the program.
?
Each applicant MUST submit to the NBPTS a COMPLETED PORTFOLIO.
Failure to submit a
completed portfolio will result in repayment of the $2,070 fee subsidy to the State of Florida
.
?
Repayment is
not
required because of death of the applicant, total and permanent disability of the
applicant, or the reassignment of an applicant’s military spouse to active duty outside of the State of
Florida.
Repayment may be deferred pursuant to circumstances outlined in Rule 6A-10.060, FAC.
?
If an applicant takes the written assessment BEFORE submitting the completed portfolio to the
NBPTS and decides to withdraw, the NBPTS will not refund to the State of Florida any portion
of the fee subsidy paid on the applicant’s behalf. The applicant is required to repay the State
of Florida the $2,070 fee subsidy.
Written notices of withdrawal from the program must be sent to:
Florida Department of Education
NBPTS
Dale Hickam Excellent Teaching Program
Post Office Box 839959
325 West Gaines Street, Room 126
San Antonio, Texas 78283-3959
Tallahassee, Florida 32399-0400
Applicant’s District ETP Contact
Local Address
Local City, State, Zip

3
IV. National Board Certification Assessment Center Calendar & Portfolio Due Dates
Portfolio due dates will no longer be triggered by the area of certification. Portfolio due dates for the 2003-
2004 cycle
are triggered by receipt of application, payment of the National Board fee and
verification forms
. See chart below.
APPLY April 1, 2003 through June 30, 2003
Application and $300
nonrefundable payment
received by NBPTS
during this period
Full fee payment and all
eligibility forms must be
received at NBPTS by
To be eligible to test in
this Assessment Center
Testing Window
Portfolio Due at NBPTS
on
or
before
April 1- June 30, 2003
June 30, 2003
July 1-December 31, 2003
February 16, 2004
September 30, 2003
October 1, 2002-March
31, 2004
December 31, 2003
January 1-June 30, 2004
APPLY July 1, 2003 through September 23, 2003
Application and $300
nonrefundable payment
received by NBPTS
during this period
Full fee payment and all
eligibility forms must be
received at NBPTS by
To be eligible to test in this
Assessment Center Testing
Window
Portfolio Due at
NBPTS
on
or
before
July 1-September 30,
2003
September 30, 2003
October 1, 2003-March 31,
2004
March 16, 2004
December 31, 2003
January 1-June 30, 2004
APPLY October 1, 2002 through December 31, 2002
Application and $300
nonrefundable payment
received by NBPTS
during this period
Full fee payment and all
eligibility forms must be
received at NBPTS by
To be eligible to test in
this Assessment Center
Testing Window
Due at NBPTS
on
or
before
October 1-December
31, 2003
January 31, 2004
January 1-June 30,
2004
April 16, 2004

4
Repayment of Fee Subsidy to the State of Florida
2003-2004
CONDITIONS
PLEASE READ CAREFULLY
Amount Due to Florida
Department of Education
Written Notification
to NBPTS
After
Amount Due to
Florida
Department of
Education
Written
reach
BEFORE
February 16, 2004 and before
taking written assessment.
$70
February 16, 2004
$2,070
Written
reach San Antonio
BEFORE
March 16,
4
taking written assessment.
$70
March 16, 2004
$2,070
Written
reach San Antonio
BEFORE
April 16, 2004 and before taking
written assessment.
$70
April 16, 2004
$2,070
Fails to complete NBPTS portfolio
or written assessment process
$2,070
Completes
successfully or unsuccessfully but
fails to teach in a Florida public
school
immediately
following
completion
program.
$2,070
must
letter
withdrawal
Antonio
San
must
letter
withdrawal
200
before
and
must
letter
withdrawal
process
NBPTS
year
the
the
of

5
V. Excellent Teaching Program Timelines
Application Procedures
May 1, 2003
DOE notifies each district/DRS of implementation procedures.
June 1, 2003-
Nov. 1, 2003
DOE accepts NBPTS application packages for 2003-2004 participants. The
application package includes:
 
NBPTS paper or on-line application form
and one photocopy.
 
$230
individual teacher payment to NBPTS
and one copy of check or
money order.
 
Signed Fee Subsidy Information Form indicating satisfactory teaching
performance pursuant to Section 1012.34, Florida Statutes,
and one
photocopy.
 
Signed Letter of Intent/Promissory Note
and one photocopy.
 
ETP Contacts Send Application Packages To:
Dale Hickam Excellent Teaching Program
Florida Department of Education
c/o Beatrice H. Monroe
325 West Gaines Street, Room 126
Tallahassee, Florida 32399-0400
June 1, 2003-
Nov. 15, 2003
DOE enters applicant information into tracking system.
DOE transmits NBPTS applications to NBPTS with
$2,070
state fee subsidy
payment and
$230
individual payment for each applicant.
January 2004
DOE conducts Retake Lottery.
February 2004-
March 2004
DOE pays each current participant a
$150
portfolio preparation incentive.
Mid November 2004
NBPTS announces results and awards certification.
Late November
2003-February 2004
DOE pays Salary Bonuses
April 1, 2004-
Mid-June 2004
DOE pays Mentoring Bonuses

6
VI. Certification Areas
During the 2003-2004 cycle, NBPTS applicants
may
be able to apply for certification in
Early and Middle
Childhood
/
Literacy: Reading-Language Arts, Early Adolescence through Young Adulthood/Health
Education, and Early Childhood through Young Adulthood/School Counseling.
Whether certification
is possible in these areas is contingent upon the NBPTS Board of Directors’ approval.
Certification
Code
NBPTS Certification Areas
2003-2004
41
Early Childhood/Generalist (ages 3-8)
42
Middle Childhood/Generalist (ages 7-12)
43
Early Adolescence/Generalist (ages 11-15)
47
Earl Adolescence/English Language Arts (ages 11-15)
44
Early Adolescence through Young Adulthood/Art (ages 11-18+)
56
Adolescence and Young Adulthood/Mathematics (ages 14-18+)
60
Adolescence and Young Adulthood/Science (ages 14-18+)
55
Early Adolescence/Mathematics (ages 11-15)
59
Early Adolescence/Science (ages 11-15)
61
Early Adolescence/Social Studies-History (ages 11-15)
48
Adolescence and Young Adulthood/English Language Arts (ages 14-18+)
62
Adolescence and Young Adulthood/Social Studies-History (ages 14-18+)
49
Early and Middle Childhood/English as a New Language (ages 3-12)
50
Early Adolescence through Young Adulthood English as a New Language (ages 11-18+)
51
Early Childhood through Young Adulthood/Exceptional Needs Specialist (ages birth-21+)
45
Early Adolescence through Young Adulthood/Career and Technical Education (ages 11-18+)
20
Early & Middle Childhood/Art (ages 3-12)
18
Early & Middle Childhood/Physical Education (ages 3-12)
19
Early Adolescence-Young Adulthood/Physical Education (ages 11-18+)
57
Early and Middle Childhood/Music
58
Early Adolescence through Young Adulthood/Music
54
Early Childhood through Young Adulthood/Library Media
63
Early & Middle Childhood/ World Languages-French, German, Spanish, Japanese, Latin (ages
3-12)
64
Early Adolescence through Young Adulthood/World Languages-French, German, Spanish
Japanese, Latin (ages 11-18+)
*46
Early & Middle Childhood/Literacy: Reading-Language Arts
*52
Early Childhood through Young Adulthood/School Counseling
*53
Early Adolescence through Young Adulthood/Health Education
*New certification areas
.

7
VII. Information and Facts
?
Please remember that the rules governing the Dale Hickam Excellent Teaching Program are
more restrictive than the rules governing the NBPTS program.
?
The
NBPTS Guide to National Board Certification 2003-2004
is on the NBPTS website and can be
downloaded any time or, call
1-800-532-1813
for hard copies. Hard copies will be available in
April
2003
.
Please order the number of copies you estimate will be needed for the teachers in your
district ASAP.
?
The
NBPTS Guide to National Board Certification 2003-2004
includes procedures and a form for
requesting a non-standard administration for candidates who have disabilities that necessitate
accommodations under ADA.
The non-standard form must be submitted with the application form if
applying
on paper.
Call
1-800-22TEACH
for general information about the NBPTS Program.
?
The NBPTS web site address is http://www.nbpts.org. Sample portfolios, sets of certification
standards, a videotape with tips on preparing the classroom video for the portfolio, etc., are available at a
cost from the NBPTS (see publications and resources information on NBPTS website).
The Dale Hickam Excellent Teaching Program website is www.fldoe.org
?
Applicants can manage their own candidacy
on-line
by accessing their records. They may correct and
update demographic changes and personal information.
Standards for all certification areas are available on-line in PDF, portable document formats.
?
Portfolio instructions in all areas are available
on-line
and applicants may view or print portfolio
instructions at their convenience. Portfolio instructions are available on CD-ROM which is included in
the portfolio box.
In addition to finding out if they are certified, applicants can view their assessment scores
on-line
.

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NOTE:
PLEASE DO NOT HOLD ANY APPLICATIONS UNTIL THE LAST
WEEK OF THE NOVEMBER 1, 2003, DEADLINE.
WEEKLY OR BI­
WEEKLY SUBMISSION OF APPLICATIONS IS MUCH PREFERRED,
AS REGULAR SUBMISSIONS WILL
PREVENT DELAYS
IN
PROCESSING.

8
Computer-Based Testing Center List
Prometric Testing Centers
In Florida
Casselberry – 0600
?
Prometric Testing Center
1241 Semoran Boulevard
Lake Howell Square, Suite 171
Casselberry, Florida 32707
407-671-2332
Coral Springs - 5104
Prometric Testing Center
3111 North University Drive, Suite 425
Florida Sunrise Tower, 4
th
Floor
Coral Springs, Florida 33065-5033
954-340-2750
Coral Springs-0013
?
Prometric Testing Center
3111 North University Drive, Suite 425
Florida Sunrise Tower, 4
th
Floor
Coral Springs, Florida 33065-5033
954-340-2750
Davie – 9074
?
Prometric Testing Center
8958 State Road 84
Pine Island Plaza
Davie, Florida 33324
954-423-0782
Fort Myers – 0621
?
Prometric Testing Center
12741 World Plaza Lane, Suite 1
Fort Myers, Florida 33907
941-275-1130

Gainesville - 0629
?
Prometric Testing Center
4961 NW 8
th
Avenue, Suite A
Gainesville, Florida 32605
352-371-6891
Hollywood - 9077
?
Prometric Testing Center
5351 Sheridan Street
Sheridan Plaza
Hollywood, Florida 33021
954-967-0443
Jacksonville - 0601
?
Prometric Testing Center 9421
Waypoint Place
Jacksonville, Florida 32257-9229
904-739-3000
Maitland – 5836
?
Prometric Testing Center
2301 Lucian Way, Suite 170
Maitland, Florida 32751
407-875-8118
Miami – 7512
?
Miami Dade Community College-North
11380 NW 27
th
Avenue
Miami, Florida 33167
mdcc.edu
305-237-1015
Miami – 7561
?
University of Miami
6303 Blue Lagoon Drive
Testing Center-Airport Location, Suite 350
Miami, Florida 33126
www.miami.edu/planning-research/testing.html
305-284-8378
Pensacola – 7725
University of West Florida
9

11000 University Parkway
Building 21
Pensacola, Florida 32514-5732
850-473-7339
Sarasota - 0623
?
Prometric Testing Center
7750 South Tamiami Trail, Suite 1
Sarasota, Florida 34231
941-923-9399
10
Tallahassee – 0617
?
Prometric Testing Center
1410 Market Street, Suite B-1
Pavilions Shopping Center
Tallahassee, Florida 32312-1722
850-386-8707
Tampa - 0657
?
Prometric Testing Center
4255 Henderson Road
Tampa, Florida 33629-5610
813-289-1246
Tampa - 7562
?
University of South Florida
4202 E. Fowler Avenue, SVC 2054
Office of Evaluation & Testing
Tampa, Florida 33620
usfweb.usf.edu/ugrads/eandt/evaltest.htm
813-974-2742
Temple Terrace - 0620
?
Prometric Testing Center
11203 North 56
th
Street, Suite B
Temple Terrace, Florida 33617
813-989-9988

11

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