Maine Education Leadership Consortium

Subsidy Agreement Form

I am accepting subsidy from the Maine Education Leadership Consortium for participation in the National Board for Professional Teaching Standards process during the 2006-2007 cycle. I do so understanding and agreeing to the following conditions. They are:

1. I am certified and under contract to teach in a Maine public school, or in a Maine private school enrolling 60% or more students at public expense, in the area of my intended National Board Certification for school year 2006-2007. I have three or more years’ teaching experience.

2. I am aware that the time demand of my involvement in the NBPTS process could approach 400 hours.

3. I have not previously participated in the National Board process to the point of having submitted a portfolio for review.

4. Should I proceed in the process, but elect to withdraw, I agree to repay the Consortium whatever funds expended on my behalf, in the amount of up to $1,250.

5. In my conversations with my superintendent regarding my participation in this program, I have expressly addressed the issue of released time that I could require during the course of my participation (up to three or four days).*

6. I authorize the Maine Education Leadership Consortium and any of its member organizations, as well as any corporate sponsors, to publish my name in news releases or promotional materials as a participant in the program and similarly publish my name should I receive National Board Certification.

Signed: _____________________________________________ Date: ______________

Printed Name: _______________________________________

*Superintendent’s Signature: ________________________________________
(Acknowledging understanding of #5 above)

Please return this completed form to:

Maine Education Leadership Consortium

46 University Drive

Augusta, Maine 04330

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