PROFESSIONAL EDUCATION COMPETENCY (PEC) COMPLETION FORM 

01. EMPLOYEE INFORMATIONEmployee’s Legal Name

______ FIRST NAME LAST NAME    

Employee’s EID Number

EMPLOYEE IDENTIFICATION NUMBER 

School/Loca on

LOCATION NAME 

Job Title

SPECIFIC JOB TITLE 

03. NTOP INFORMATION

02. CERTIFICATION

Did you submit the 1st Year Teacher Comple on Form  Yes      No    If yes, date submi ed: ____ /____ /____

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 tled “English Language Learners (ELL)” Have you completed the 1st 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 Cer fica on 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

ProfessionalLearning@collierschools.com

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 teachernamed above has had asa sfactory CTEM Evalua on.

PRINCIPAL SIGNATURE 

Please a ach a copy of your Professional Learning Transcript showing the two trainings you indicated above.