1. I. Eligibility Criteria for Application
      1. Application for ETP Fee Subsidy:
        1. Mentoring Bonuses:
          1. Payment of $150 Portfolio Preparation Incentive:
          2. Florida Department of Education
        2. NBPTS Processing Center
        3. Applicant’s District DHETP Contact
        4. $70
      2. V. Excellent Teaching Program Timelines
      3. Late November 2004
    2. Early December 2004-February 2005
      1. January 2005
      2. February 2005-
      3. March 2005
      4. Certification
        1. NBPTS Certification Areas
          1. 2004-2005
    3. Early & Middle Childhood/Music (ages 3-12)
    4. Early Adolescence through Adulthood/Physical Education (ages
      1. VII. Information and Facts
      2. Miami Dade CC-North

FLORIDA DEPARTMENT OF EDUCATION
 
 
 
S
  
TATE BOARD OF EDUCATION
 
F. PHILIP HANDY,
Chairman
 
T. WILLARD FAIR,
Vice Chairman
 
 
Members
 
 
LINDA J. EADS, ED.D.
 
CHARLES PATRICK GARCÍA
 
JULIA L. JOHNSON
 
WILLIAM L. PROCTOR, PH.D.
  
 
LINDA K. TAYLOR
 
 
JIM HORNE
Commissioner of Education
 
  
 
 
June 1, 2004
 
 
M E M O R A N D U M
 
  
  
  
  
 
 
TO:
Dale Hickam
 
Excellent Teaching Program District Contacts
 
 
FROM:
Ava G. Byrne
 
 
SUBJECT:
Dale Hickam Excellent Teaching Program
 
    
  
Technical Assistance Document 2004-2005
 
The Dale Hickam Excellent Teaching Program (DHETP) is entering its
seventh
year of implementation.
We are pleased that the level of interest is still very high. During the 2003-2004 application cycle, the
Department of Education (DOE) received over 3,200 applications. We anticipate that we will have over
2,500 participants who will complete the program.
 
The 2004-2005 cycle marks the third year of the National Board for Professional Teaching Standards’
(NBPTS) three-year transition to
an assessm
ent operation redesign and technology advancements to the
 
National Board process
. The rationale behind the change is to accommodate the expected 50,000 new
applicants, nation-wide, by the 2004-2005 cycle. The DHETP will process applications
beginning June
1, 2004 through September 30, 2004
. Unlike previous years, there will be one
portfolio due date for
all applicants, March 31, 2005
.
 
The National Board application fee remains
$2,300.
The application fee subsidy, bonuses, and
incentives provided by the Dale Hickam Excellent Teaching Program contained herein are contingent
upon funding by the Florida Legislature. The Department shall pay
$2,070
of the fee subsidy for all
eligible applicants whose applications are submitted to the Department by school districts and
developmental research schools. The application requirements, deadlines, and other program timelines
for 2004-2005 are further explained in this document. Eligibility criteria for participation in the DHETP
are outlined pursuant to the newly passed State Board Rule, 6A-10.060 (see attached). The new
eligibility requirements will be in effect for the 2004-2005 fiscal year and beyond.
 
 
AVA G. BYRNE, CHIEF
BUREAU OF EDUCATOR RECRUITMENT, DEVELOPMENT AND RETENTION
325 W. GAINES STREET • SUITE 124 • TALLAHASSEE, FL 32399-0400 • (850) 245-0435

 
Memorandum
June 1, 2004
 
 
The 2004-2005 application year is a transition year. Following the completion of this
cycle, only online applications will be accepted.
However, during the 2004-2005 cycle,
application for National Board Certification may be by on-line or paper application. While
applicants may use the paper application,
the Department and the National Board
 
VERY
strongly encourage applying on-line
. Applicants or districts preferring paper applications
must request them directly from the National Board.
 
All necessary instructions and forms are attached to this communication. You may
reproduce these materials as needed.
Please color-code each form as specified below
and discard all forms used in previous years.
 
AGB/bhm
 
Enclosures:
1. Dale Hickam Excellent Teaching Program Technical Assistance Paper
2. Dale Hickam Excellent Teaching Program Application Forms
¾
 
Application for Certification Fee Subsidy (Green)
¾
 
Letter of Intent/Promissory Note (Blue)
¾
  
Salary Bonus Request Form (Pink)
¾
 
Mentoring Services Bonus Request Form (Yellow)
¾
 
Dale Hickam Excellent Teaching Program Withdrawal Form
3. Dale Hickam Excellent Teaching Program Rule 6A-10.06
 
Page 2

 
 
  
 
DALE HICKAM EXCELLENT TEACHING PROGRAM
 
TECHNICAL ASSISTANCE PAPER
 
I. Eligibility Criteria for Application
 
Each Dale Hickam Excellent Teaching Program/NBPTS participant must
:
 
1. Meet NBPTS prerequisites that include:
 
a) Possess a baccalaureate degree from an accredited institution.
 
b) 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.
 
c) 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 all eligibility requirements pursuant to Section 1012.72, Florida Statute, and all
requirements pursuant to State Board Rule 6A-10.060, see attached.
 
3. Meet the satisfactory teaching performance requirement pursuant to Section 1012.34,
Florida Statutes.
 
4. Pay
$230
(10% of
$2,300
) of the application fee.
 
5. 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, by the applicant.
 
 
 
II. Distribution of Dale Hickam Excellent Teaching Program Funds
 
Application for ETP Fee Subsidy:
 
Instructions for Submitting an On-line Application:
 
Complete the on-line application at www.nbpts.org
Complete the Application for Certification Fee Subsidy Form
Complete the Letter of Intent/Promissory Note Form
If payment was not submitted online, write a personal check or money order for $230
payable to NBPTS
Send all original documents plus one photocopy of each as well as a copy of the online
application to the DHETP district contact
 

 
 
Instructions for Submitting a Paper Application:
 
Complete the paper application and
mail directly to: NBPTS Processing Center, Post
Office Box 6887, Ewing, New Jersey 08628-6887
Complete the Application for Certification Fee Subsidy Form
 
Complete the Letter of Intent/Promissory Note Form
 
Write a personal check or money order for $230 payable to NBPTS
 
Send all original documents plus one photocopy of each as well as a copy of the paper
application to the DHETP district contact.
 
 
PLEASE NOTE: When submitting applications, it is not necessary to submit any
additional documentation (teaching certificates, performance appraisals, etc.).
 
 
 
 
District/Developmental Research School (DRS) contact submits to Department of
Education (DOE) for each applicant the following:
 
 
1. Copy of on-line or paper application;
2. Participant’s $230 check or money order, payable to NBPTS;
3. Original Application for Certification Fee Subsidy (green) with required applicant and
superintendent/DRS director signature;
4. Original, signed, Letter of Intent/Promissory Note (blue); and
5. A photocopy of above listed application package should be provided for each
applicant.
 
Note: Please submit applications in alphabetized batches and include an alphabetical
list of all candidates.
 
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 (DHETP) a
salary bonus request form for each qualified National Board Certified Teacher. DHETP
processes for payment and submits to the Office of the Comptroller for payment. Processing
begins in early December and extends through February.
 

 
 
 
Upon receipt of salary bonuses, the District/DRS finance officer calculates applicable
payroll-withholding deductions such as taxes and social security and pays the remaining
amount 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. DHETP processes
for payment and submits to the Office of the Comptroller. Processing begins April 1 and
extends through mid-June. Please note that adoption of State Board Rule 6A-10.060
resulted in some changes in the mentoring guidelines (see attached rule).
 
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. Processing begins in late February and extends through March.
 
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.
 
NBPTS 2004-2005 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. Please use
DHETP Withdrawal Form for withdrawal notification to the Department of Education.
 
Written notices of withdrawal from the program must be sent to:
 
Florida Department of Education
Dale Hickam Excellent Teaching Program
325 West Gaines Street, Room 126
Tallahassee, Florida 32399-0400
 
NBPTS Processing Center
Post Office Box 6887
Ewing, New Jersey 08628-6887
 
Applicant’s District DHETP Contact
Local Address
Local City, State, Zip
 
  
  
  
  
  
  
  
  
  
  

 
 
 
 
Repayment of Withdrawal Fee or Fee Subsidy to the State of Florida
2004-2005
 
 
 
 
 
PLEASE READ CAREFULLY
 
 
Amount Due to Florida
Department of Education
 
 
Written Notification
to NBPTS After
 
Amount Due
to Florida
Department of
Education
Written withdrawal letter must
reach
Ewing, N.J.
 
BEFORE
 
March 31, 2005 and before
taking written assessment.
 
$70
 
March 31, 2005
 
$2,070
Fails to complete NBPTS portfolio
or written assessment process
$2,070
  
  
Completes NBPTS process
successfully or unsuccessfully but
fails to teach in a Florida public
school the year
immediately
following
completion of the
program.
$2,070
  
  
 
 
IV. National Board Certification Assessment Center Calendar And Portfolio Due Dates
 
 
The portfolio due date is the same date for all applicants, March 31, 2005
. Assessment center
testing windows are listed in the chart below.
 
 
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
And receive
your results no
later than
 
January 1, 2004-
December 31,
2004
 
 
January 31, 2005
 
 
July 1, 2004-
June 23, 2005
 
March 31, 2005
 
Dec. 31, 2005
 
 

 
 
 
 
V. Excellent Teaching Program Timelines
 
June 1, 2004-
Sept. 30, 2004
DOE accepts NBPTS application packages for 2004-2005 participants. The
application package includes:
 
„
NBPTS on-line or paper application
and one photocopy.
 
 
„
 
$230
individual teacher payment to NBPTS and
one copy of check
or money order.
 
 
„
Signed Application for Certification Fee Subsidy 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, 2004-
Sept. 30, 2004
DOE processes and transmits NBPTS applications to NBPTS with
$2,070
state
fee subsidy payment and
$230
individual payment for each applicant.
Late November
2004
NBPTS announces results and awards certification.
Early December
2004-February 2005
 
DOE pays Salary Bonuses
January 2005
DOE conducts Retake Lottery.
 
February 2005-
March 2005
DOE pays each current participant a
$150
portfolio preparation incentive.
April 1, 2005-
Mid-June 2005
 
DOE pays Mentoring Service Bonuses
 
 
 
 

 
 
 
 
VI. Certification Areas
 
 
Certification
Code
NBPTS Certification Areas
2004-2005
41
Early Childhood/Generalist (ages 3-8)
42
Middle Childhood/Generalist (ages 7-12)
20
Early & Middle Childhood
/
Art (ages 3-12)
44
Early Adolescence through Young Adulthood/Art (ages 11-18+)
45
Early Adolescence and Young Adulthood/Career & Technical Education (ages 11-18+)
49
Early & Middle Childhood/English as a New Language (ages 3-12)
50
Early Adolescence through Young Adulthood/English As a New Language (ages 11-18+)
47
Early Adolescence/English Language Arts (ages 11-15)
48
Adolescence & Young Adulthood/English Languages Arts (ages 14-18+)
51
Early Childhood through Young Adulthood/Exceptional Needs Specialist (ages birth-21+)
54
Early Childhood through Young Adulthood/Library Media (ages 3-18+)
46
Early & Middle Childhood/Literacy: Reading Language Arts (ages 3-12)
55
Early Adolescence/Mathematics (ages 11-15)
56
Adolescence through Young Adulthood/Mathematics (ages 14-18+)
57
Early & Middle Childhood/Music (ages 3-12)
58
Early Adolescence through Young Adulthood/Music (ages 11-18+)
18
Early & Middle Childhood/Physical Education (ages 3-12)
19
Early Adolescence through Adulthood/Physical Education (ages 11-18+)
52
Early Childhood through Young Adulthood/School Counseling (ages 3-18+)
59
Early Adolescence/Science (ages 11-15)
60
Adolescence & Young Adulthood/Science (ages 14-18+)
61
Early Adolescence /Social Studies-History (ages 11-15)
*62
Adolescence and Young Adulthood/Social Studies-History (ages 14-18+)
*64
Early Adolescence through Young Adulthood/World Languages- (ages 11-18+)
 
VII. Information and Facts
 
There are rules and eligibility requirements governing the DHETP that are specific to
Florida applicants.
 
 
The
NBPTS Guide to National Board Certification 2004-2005
 
is on the NBPTS website
and can be downloaded any time. This guide includes procedures 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.
Portfolio instructions
in all areas are available
on-line
and are available on CD-ROM.
 
If paper applications are needed, they should be ordered directly from the NBPTS.
  
However, we strongly encourage on-line applications.
 
Call 1-800-22TEACH for general information about the NBPTS Program; the NBPTS
website address is www.nbpts.org. All standards for all certification areas are available
on-line in portable document formats, PDF. Portfolio instructions in all areas are
available on-line
 
and on CD-ROM.

 
 
Procedures for Assessment
 
 
Assessment center testing is a
one-half (½)
day process; each written assessment series is
30
 
minutes long and measures content-related questions rather than pedagogical-related
questions. The assessment center window extends from
July 1, 2004
through
June 23, 2005
.
Applicants are encouraged to make their assessment appointment
30
days prior to the intended
assessment date, as the National Board will not extend the window for any reason.
 
Written assessments may be scheduled at any number of Prometric Testing Centers in the
state. Below is a list of these centers.
 
Casselberry – 0600
Prometric Testing Center
1241 Semoran Boulevard
Lake Howell Square, Suite 171
Casselberry 32707
407-671-2332
 
Coral Springs-0013 & 5104
Prometric Testing Center
3111 North University Drive,
Suite 425
Florida Sunrise Tower, 4
th
Floor
Coral Springs 33065-5033
954-340-2750
 
Fort Myers – 0621
Prometric Testing Center
12741 World Plaza Lane, Ste 1
Fort Myers 33907
941-275-1130
 
Gainesville - 0629
Prometric Testing Center
4961 NW 8
th
Avenue, Suite A
Gainesville 32605
352-371-6891
 
Jacksonville - 0601
Prometric Testing Center
9421 Waypoint Place
Jacksonville 32257-9229
904-739-3000
 
Jacksonville- 7727
University of North Florida
4567 St. John’s Bluff Rd., S.
Academic Testing Bldg. 2
Room 2056
Jacksonville 32224
904-620-1973
Maitland – 5836
Prometric Testing Center
2301 Lucian Way, Suite 170
Maitland 32751
407-875-8118
 
Miami – 7512
Miami Dade CC-North
11380 NW 27
th
Avenue
Miami 33167
305-237-1015
 
Miami – 7561
University of Miami
6303 Blue Lagoon Drive
Testing Center-Airport Location
Suite 350
Miami 33126
305-284-8378
 
Miami/Davie- 9074
Prometric Testing Center
8958 State Road 84
Pine Island Plaza
Miami/Davie 33324
954-423-0782
 
Pensacola – 7725
University of West Florida
11000 University Parkway,
Building 21
Pensacola 32514-5732
850-473-7339
 
Sarasota - 0623
Prometric Testing Center
7750 S. Tamiami Trail, Ste. 1
Sarasota 34231
941-923-9399
Tallahassee – 0617
Prometric Testing Center
1410 Market Street, Suite B-1
Pavilions Shopping Center
Tallahassee 32312-1722
850-386-8707
 
Tampa - 0657
Prometric Testing Center
4255 Henderson Road
Tampa 33629-5610
813-289-1246
 
Tampa - 7562
University of South Florida
4202 E. Fowler Ave., SVC 2054
Office of Evaluation & Testing
Tampa 33620
813-974-2742
 
Temple Terrace - 0620
Prometric Testing Center
11203 North 56
th
Street, Suite B
Temple Terrace 33617
813-989-9988
 
 

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