Third-Party Payer Information Form

Welcome!

We appreciate your support of National Board Certification candidates and are excited to form a partnership with you. Please take a moment to complete the following form; your responses will help us to better serve your needs.

Your Organization

This is the paying entity. Please enter your organization's name below as it would appear on any checks or purchase orders submitted by your organization.

Primary Point of Contact

Please provide the name and contact information of the individual within your organization who will be responsible for organizing/submitting candidate payments. This is who we will reach out to first if we have questions about payments.

Please provide the names and contact information of any other individuals who may process candidate payments on behalf of your organization.

Your Funding Structure

Please tell us how your organization plans to allocate funding.

(Select all that apply.)

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(For example, is there a funding limit per candidate? Are candidates required to pay a portion of the costs up front? Do candidates have to meet specific criteria to be eligible for funding?)

Does your organization have an internal deadline for candidates receiving funding? (Note: The National Board's registration and payment deadline is February 28.)

Reporting Needs

We offer access to a data-sharing portal, NBConnect, which is available to those providing funding, incentives, and support for National Board Certification and Renewal candidates.

NBConnect is an online community for advocates working to grow and support National Board’s mission to expand accomplished teaching across the country. The site includes information and resources for building awareness for Board certification, developing professional learning, and candidate and NBCT support. Access to the community requires approval.

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