2006-2007 MENTORING BONUS PAYMENT FORM DHETP-4 School District/Development Research School: DHETP Contact Name: DHETP Contact Phone Number: DHETP Contact Email: Total Number of Mentoring Bonuses Requested:_________ Batch No.:________ List Alphabetically by Last Name NBCT Last Name NBCT First Name SS No. NBPTS ID No. Address City Zip Code I do hereby request funds for payment of a bonus for mentoring and related services to each of the above identified educators pursuant to Section 1012.72, F.S. Related services include instruction in helping educators work more effectively with the families of their students. Signature, District School Superintendent/Developmental Research School Director...
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