Fillable Video Recording Date Attestation Form

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Video Recording Date Attestation Form

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© 2017 National Board for Professional Teaching Standards | All rights reserved.
Profile of Professional Growth Forms
Video Recording Date Attestation Form
(To be supplied only for Component #2 if a date stamp is not available on the video recording)
Renewal Candidate Name:
National Board ID #:
Date(s) on which the teacher’s classroom was recorded:
I verify that the above information is accurate.
Name:
Administrator’s Position:
Signature:
Date:
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Video Recording Date Attestation Form

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Completed 7 January 2021

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