Washington State National Board Support Partner Agreement 2024-25

Your Information

Thank you for taking the time to complete this survey. This survey serves as the OSPI National Board agreement for districts and organizations planning to offer candidate cohorts in the 2024-25 school year. The information included in this survey will be used to publish a list of approved support providers for candidate viewing, and candidates participating with an approved support provider will have access to OSPI's conditional loan. Please ensure only one person per organization completes this survey - you may resubmit your response for any updates.

Before completing this agreement form, please ensure the following information is ready to be included:
- Estimated cohort start, deadline to join, and meeting hours (even if calendar is not set yet)
- Any candidate fees/facilitator compensation and amounts
- What components you'll support, MOC, and retake supports if applicable

Please take a moment to tell us who you are:

1. Organization or School District Name *This question is required.

2. Organization Lead (administrator sponsoring the cohort and/or acting as the fiscal agent) *This question is required.

Name
Email Address
Phone Number

3. Cohort Contact (if different than organization lead; otherwise, please enter "N/A") *This question is required.

Name
Email Address
Phone Number

"First Name Last Name", separate each facilitator by comma.

4. NBCT Facilitator Names (including yourself if applicable; all facilitators must have attended OSPI Facilitator Training) *This question is required.