Assurances Form
Teacher Certification and Employee
Records (2008-2009)
The Teacher Certification and Employee Records Form must be accurate and complete because it will be used to satisfy State and Federal reporting requirements.
In order to process the Teacher Certification and Employee Records Form from charter schools, New York State Education Department must receive a copy of the attached Assurance Form signed by the school’s chief administrator.
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I assure that the attached Teacher Certification and Employee Records Form
(2008-2009) reflects the accurate and complete reporting of that information as
of the date the form was completed.
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Name of |
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Name and Title of Chief Administrator (please print) |
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Signature of Chief Administrator |
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Date (MM/DD/YY) |
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Name and Title of Person Providing the Information for the |
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