Transcription of MIAMI-DADE COUNTY PUBLIC SCHOOLS
1 Clear Form MIAMI-DADE COUNTY PUBLIC SCHOOLS . AGREEMENT. FOR CHARTER school TEACHERS. ACCEPTING OUT-OF-FIELD ASSIGNMENTS. I understand that: z I must complete a minimum of six (6) semester hours of college credit, 120 inservice points, or take/pass the appropriate subject area test towards infield certification in _____. z By June 30 of this school year, I must submit appropriate documentation, showing those courses completed, to my principal. Failure to obtain the minimum of six college credits per year toward required certification shall result in reassignment in-field if a position is available, or be subject to termination.
2 All documentation must be maintained at the work site. z An application with appropriate fee must be submitted to the Florida Department of Education upon completion of requirements to add the subject to my certificate. ( school Name) ( school Number). (Employee Name) (Employee Number) (Social Security Number)*. (Date) (Employee Signature). (Date) (Administrator Signature). (Date) (Governing Board Chairperson Signature). Governing Board Approval Date: *The school Board of MIAMI-DADE COUNTY , Florida is authorized to collect, use or release social security numbers of employees and other individuals for initial instructional certification, renewal, or add-on application [Required by FS , and (5) (a) 6, and/or authorized by FS and (5) (a) 6].
3 The collection of social security numbers is either specifically authorized by law or imperative for the performance of the District's duties and responsibilities as prescribed by law [FS (5) (a) 2 & 3]. PLEASE FAX OR MAIL TO THE CSO OFFICE. Charter school Operations 1450 2nd Avenue, Room 807, Miami, Florida 33132. Phone: 305-995-1403 Fax: 305-995-2009 FM-7226 Rev. (11-10).
