Application for NYS Albert Shanker Grant Program

Instructions:

Before submitting this application for the Albert Shanker Grant Program you must:

Read the information regarding National Board Certification.
Complete the 2023-24 National Board for Professional Teaching Standards (NBPTS) Candidate Registration online. (Note: During the NBPTS registration process, under the "Agreements" tab [Step 4], you MUST elect to have your name released to third-party agencies that may provide incentives).

Pay the annual NBPTS registration fee and register and pay for your first component.

This Albert Shanker Grant Program application must be submitted by February 16, 2024.

Step 3 of the online application: Verification must be submitted and include:

A copy of the Registration Receipt with NBPTS; and
A copy of the Payment Receipt for the First component.

Please email verification to: shankergrant@nysed.gov.

After completing this form please check the email you provided for a confirmation of your submission.

* Denotes a required field

Candidate Information

*First Name:

FirstName *

*Last Name:

LastName *

*Maiden Name:

MaidenName *

Please provide your maiden name or type Not Applicable in the text box.

*Last 4 Digits of SSN:

SSN *

Please provide the last 4 digits of your SSN.

*Birth Year:

DOB *

Your Contact Information:

*Home Phone:

HOMEPHONENUMBER13 *

HOMEPHONENUMBER46 *

HOMEPHONENUMBER710 *

*Cell Phone:

CELLPHONENUMBER13 *

CELLPHONENUMBER46 *

CELLPHONENUMBER710 *

*Email Address;

EMAILADDRESS *

*Candidate ID:

CANDIDATEID *

Home Address

*Street 1:

STREET1 *

Street 2:

STREET2

*City:

CITY *

*State:

STATE *

*Zip Code:

ZIPCODE *

Employing NYS Public School District Information

*School District:

SD *

*School Superintendent Name:

SUPERINTENDENTNAME *

*School Name:

SCHOOLNAME *

*School City:

SCHOOLCITY *

*School Street 1:

SCHOOLSTREET1 *

School Street 2:

SCHOOLSTREET2

*School State:

SCHOOLSTATE *

*School ZIP Code:

SCHOOLZIPCODE *

*School County:

SCHOOLCOUNTY *

*School Email Address:

SCHOOLEMAILADDRESS *

*School Phone:

SCHOOLPHONENUMBER13 *

SCHOOLPHONENUMBER46 *

SCHOOLPHONENUMBER710 *

NYS Teacher Certification Information - List type, title, and grade level for all certificates held

Please Note: Enter this information all on one line. Do not press the enter button to create multiple lines.

*Certificate 1:

CERT1INFO *

*Certificate 2:

CERT2INFO *

*Certificate 3:

CERT3INFO *

*Certificate 4:

CERT4INFO *

*Certificate 5:

CERT5INFO *

Online Affidavit

Read all statements, check all boxes and then click on the "Sign Affidavit" button:

Payment of Registration Fee *

I have paid NBPTS the annual registration fee and the fee for my first component.

Repayment of Grant Funds *

If I withdraw my candidacy, I understand that I am responsible for repayment of any grant funds not recovered due to my early withdrawal.

No Additional Third Party Support *

I do not have additional third-party support applicable toward the NBPTS component fees.

Agreement to Remain a Full Time Employee of NYS Public School Districts *

I agree to remain employed full-time in a NYS public school district for at least one year after completing or achieving National Board Certification.

Tenured as a Full-Time Teacher *

I am employed and TENURED as a full-time teacher in a New York PreK-12 Public School.

By SIGNING this affidavit, I hereby certify that all of the information I provided in this online application is true and contains no misrepresentation or falsehoods and is signed under penalty of perjury.

By clicking the "Sign Affidavit" button you are submitting the NYS Albert Shanker Grant application.

Sign Affidavit *

Sign Affidavit

NYSED General Information: (518) 474-3852

ACCES-VR: 1-800-222-JOBS (5627)

High School Equivalency: (518) 474-5906

New York State Archives: (518) 474-6926

New York State Library: (518) 474-5355

New York State Museum: (518) 474-5877

Office of Higher Education: (518) 486-3633

Office of the Professions: (518) 474-3817

P-12 Education: (518) 474-3862

New York State Education Department