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Professional Development
Incentive Awards
(Merit Pay, and Higher Education
Merit Pay)
FAXED APPLICATIONS WILL NOT BE ACCEPTED!
Professional Development
Incentive Award Application (Previously Merit Pay I)
Professional Development Incentive Award-Higher Education Application
(Previously Higher Education Merit Pay)
__________________________________
Higher Education
Merit Pay-Spring Semester 2010
Please fill out this form prior to your request for payment if your college credit courses have changed since the time you were approved for Higher Education Merit Pay.
If
you have been approved for Spring semester Higher Education Merit Pay
and have completed your approved coursework please submit the following
items:
1.
A copy of you Spring semester transcripts with verification of
successful completion of approved courses
2. A completed W-9 tax form –
please fill out your Social Security Number and not the Employer
Identification Number when you complete! (download below)
3.
A copy of
your current Practitioner Registry Certificate
4. Employment Verification Form
Download Employment Verification Form
__________________________________
Merit Pay I
Award Participants
If you have been approved for a Merit Pay I award, upon completion of your required approved training hours, which must be completed between 8/1/2009-8/31/2010, please submit the following items to the Early Childhood Project to receive your award money.
1. A copy of your online Professional Development Record and any training certificates* for training that does not appear on the record
2. A completed W-9 tax form-please fill out your Social Security Number and not the Employer Identification Number when you complete! (download below)
3. A copy of your current Practitioner Registry Certificate
4.
Employment Verification Form
Download Employment Verification Form
*Need help finding your Professional Development Record? Since you must be active on The Practitioner Registry to claim your award, just go to our homepage, click on Practitioner Registry, then look for the blue link at the top of the page to view your Practitioner Registry record. Once you have signed in with your Registry ID and password, go to the last box on the left side of the screen and click on "ECP Reports" You can then click on "Professional Development Record." Print this off and send it to us.
Please feel free to contact our office if you need any help with completing your online Practitioner Registry application or accessing your Professional Development Record.