NM NBCT Network PLF & Candidate Agreement/Registration Form for Candidate Support
NM NBCT Network PLF & Candidate Agreement/Registration Form for Candidate Support
National Board Professional Teaching Standards Candidate Support Program
Please fill in the form below to register for the NM NBCT Network National Board Candidate Support Program. Note the following guidelines:

*Cost is $230 per Component support (Components 2-4) and $55 for Component #1
*Component #2,#3 & #4 Class fee covers ALL large group classes and placement with a small group of NBPTS candidates and a trained Candidate Support Provider/Professional Learning Facilitator with both face-to-face and online support as appropriate.
*Component #1 fee covers 4-hour training.
*Advanced and Renewal candidate support covers individual and/or small group meetings and support with CSP/PLF.
*Fees MUST be paid before a candidate will be supported. Attendance is not allowed until the fee is PAID.

*Fees are to be paid through PayPal and are NOT refundable.
Email address *
Name *
Your answer
Phone *
Your answer
Email *
Your answer
Home Address *
Your answer
City, State, Zip Code *
Your answer
School *
Your answer
District *
Your answer
Area of National Board Certification/level *
Your answer
Do you need a PLF to support you through the National Board process? (Components 2-4, Returning/Renewal) *
If you answered yes to the above question, would you like to request a particular PLF? If so, please put their name(s). If not, you will be assigned a PLF in the network. *
Your answer
Component Support Needed (check all that apply) *
Payment *
Please read and sign this statement: As a candidate in the National Board for Professional Teaching Standards candidate program I understand my instructors and associates provide a system for support and clarification throughout the NBPTS process. I understand the NM NBCT Network Candidate Support Provider (CSP/PLF) is not liable for a pass or fail on any component or assessment. I understand that it is my responsibility, as the candidate, to attend meetings, perform research, gather data and documents making final choices for all items, and submit materials in a timely manner. A NM NBCT Network CSP/PLF cannot be held liable for any candidate’s success or failure. I understand that once my fee is paid there are NO refunds. I understand that participation in the support group does not guarantee successful completion of the process. SIGN BELOW: *
Your answer
A copy of your responses will be emailed to the address you provided.
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