ARKANSAS DEPARTMENT OF EDUCATION
ARKANSAS DEPARTMENT OF EDUCATION
Office of Professional Quality Enhancement
NATIONAL BOARD FOR PROFESSIONAL TEACHING STANDARDS
ORIENTATION SESSION FOR PROSPECTIVE CANDIDATES*
Please circle one of the following dates: MAY 4 AUGUST 3
____ Yes, I will attend the orientation session circled above. (You must choose one session or your registration will not be processed. Contact this office if you do not receive confirmation of your registration.)
Name _____________________________________________________________________________
Home Mailing Address ______________________________________________________________
__________________________________________________________________________________
Home Telephone _________________________School Telephone ___________________________
Email _________________________________________(Circle one: All year School year only)
School District______________________________________________________________________
School _____________________________________________________________________________
Principal _________________________________School Fax _______________________________
PROBABLE AREA OF CERTIFICATION ____________________________________________
___________________________________________________________________________________
*ATTENDANCE AT ONE OF THESE MEETINGS IS MANDATORY FOR ANY TEACHER WHO PLANS TO SEEK NATIONAL BOARD CERTIFICATION. Applications will only be distributed at the orientation sessions to teachers in attendance. The Department of Education will maintain a roster of attendees for purposes of approving candidate support.
Registration must be received no later than ten days prior to the meeting: Tuesday, April 24 for May 4 and Tuesday, July 24 for August 3.
Send or fax to Barbara Patty, Arkansas Department of Education, 4 Capitol Mall, Room 405-B, Little Rock, AR 72201 or 501-682-5118. Questions may be directed to the Office of Professional Quality Enhancement at 501-681-1146 or 501-682-5535 or email to bpatty@arkedu.k12.ar.us.
___________________________________________________________________________________
OFFICE USE ONLY Date Received Date Confirmed Number
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