PROFESSIONAL EDUCATION COMPETENCY (PEC) COMPLETION FORM 01. EMPLOYEE INFORMATION Employee’s Legal Name ______ FIRST NAME LAST NAME Employee’s EID Number EMPLOYEE IDENTIFICATION NUMBER School/LocaƟon LOCATION NAME Job Title SPECIFIC JOB TITLE 03. NTOP INFORMATION 02. CERTIFICATION Did you submit the 1 st Year Teacher CompleƟon Form Yes No If yes, date submiƩed: ____ /____ /____ TEMPORARY Validity Dates: ____ /____ /____ to ____ /____ /____ Are you transferring points from another Florida school district? No Yes __________________ County ELL Training Level: ______________ If you are not sure of your ELL Training Level, please refer to your Professional Learning Transcript (iBriefing #11692) and the page Ɵtled “English Language Learners (ELL)” Have you completed the 1 st Year ELL requirement: Yes No If yes, training start date: ____ /____ /____ Training Title: _______________________________________________ 05. SIGNATURES PLEASE COMPLETE AND SUBMIT THIS FORM AND ALL SUPPORTING DOCUMENTATION TOGETHER NO LATER THAN MARCH 15th OF YOUR SECOND YEAR OF EMPLOYEMENT GKT Pass: Yes No GKT Date: ____ /____ /____ Click HERE to visit the CerƟficaƟon Department website PEC Enrollment Date _____ /_____ /_____ LOCATED ON PEC ENROLLMENT FORM 04. PROFESSIONAL LEARNING Training #1 Date Completed: ____ /____ /____ Training #2 Date Completed: ____ /____ /____ FOR MORE INFORMATION, PLEASE VISIT US AT www.collierschools.com/newteacher [email protected] EMPLOYEE EMPLOYEE SIGNATURE DISTRICT MENTOR DISTRICT MENTOR PRINTED NAME DISTRICT MENTOR SIGNATURE SCHOOL‐BASED MENTOR SCHOOL‐BASED MENTOR PRINTED NAME SCHOOL‐BASED MENTOR SIGNATURE PRINCIPAL PRINCIPAL PRINTED NAME PRINCIPAL SIGNATURE I verify that the teacher named above has had a saƟsfactory CTEM EvaluaƟon. PRINCIPAL SIGNATURE Please aƩach a copy of your Professional Learning Transcript showing the two trainings you indicated above.