Application for NYS Albert Shanker Grant Program

Instructions:

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

.
. (Note: ̨��ֱ�� is a third-party payer for funding. Under the “Agreements” tab in NBPTS registration, you MUST elect to have your name released to third-party agencies in order to receive funding.)

Pay the annual NBPTS registration fee and register.

This Albert Shanker Grant Program application must be submitted by February 7, 2025.

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 completed Candidate Tenure attestation.

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

Shanker Year

Candidate Status

Funding priorities are first-time candidates, retakes, and Maintenance of Certification.

Status *

First-time Albert Shanker grant applicant

Retake one component

Maintenance of Certification (MOC)

Retake Applicant Information

Cost information for the retake component is available in the .

Retake Component *

Retake Component Cost *

Please enter the component cost, in dollars.

Candidate Information

First Name *

Last Name *

Name on TEACH Account *

Please provide the name listed on your TEACH account if it is not the same as your current name, or type "Not Applicable" in the text box.

NYS Teacher ID *

National Board Candidate ID Number *

SSN *

Please provide the last 4 digits of your Social Security Number.

DOB *

Please enter your birth year.

Contact Information

Home Phone *

Cell Phone *

Email Address *

Home Address

Street 1 *

Street 2

City *

State *

Zip Code *

Employing NYS Public School District Information

School District *

School Superintendent *

School Name *

School Street 1 *

School Street 2

School City *

School State *

School Zip Code *

School County *

School Email Address *

School Phone *

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 *

Certificate 2

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.

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.

Sign Affidavit *

Sign Affidavit

By clicking the "Submit" button, you are submitting the NYS Albert Shanker Grant application.

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question * 7 + 3 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

̨��ֱ��

̨��ֱ��