Please print information



|Please print information |

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|National Board Certified Teachers |

|Deadline: January 15 |

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|This form should be completed and sent no later than January 15 to the |

|State Professional Affairs Committee Chairman, Lori Wallace |

|Email: loriwwallace@ |

|Mail: 5605 Bonner Ferry Road, Bastrop, LA 71220 |

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|Send us the names of your chapter members who, since last state convention, has newly earned National Certification, those who recertified, and any new member |

|to your chapter who is nationally board certified. Please help us honor these ladies at the State Convention in March, by taking the time to do this by the |

|above deadline. Otherwise we will not know the names of those who certified. |

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|CHAPTER____________________________________DISTRICT__________________________ |

|PRESIDENT’S NAME ____________________________EMAIL__________________________ |

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|List members who received their National Board Certification or National Board Re-certification since February of last year. Please place an asterisk (*) next|

|to the names of the members you know will attend State Convention. |

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|New National Board Certified: |

|_____________________________________ |

|_____________________________________ |

|_____________________________________ |

|Recertified: |

|_____________________________________ |

|_____________________________________ |

|New Chapter member already, NBCT: |

|_____________________________________ |

|_____________________________________ |

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