2005-2006 SALARY BONUS PAYMENT FORM Total Number of Salary Bonuses Requested:_________ Batch No.:________ NBCT Last Name NBCT First Name SS No. NBPTS ID No. Address City Zip Code DHETP-4 School District/Development Research School: DHETP Contact Name: DHETP Contact Phone Number: DHETP Contact Email: I do hereby request funds for payment of a salary bonus to each of the above identified educators pursuant to Section 1012.72, F.S. I certify by my signature that each educator above has met the following requirements: 1. Holds a valid NBPTS certificate or notice of certificate award; 2. Is currently employed full-time as instructional personnel within the ... Signature, District School ...
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DOE Memorandums, Reports & Other Documents 
