PUBLIC HEARING REPLY FORM

Persons wishing to present testimony at the public hearing on New statewide teacher and school building leader certification requirements are requested to complete this reply form as soon as possible and mail, email or fax it to:

Peter Hoffman
Committee Assistant
Assembly Committee on Education
Room 513, Capitol
Albany, New York 12248
Email: hoffmanp@assembly.state.ny.us
Phone: (518) 455-4881
Fax: (518) 455-3669
box
I plan to attend the following public hearing on the New statewide teacher and school building leader certification requirements to be conducted by the Assembly Committees on Higher Education and Education on Wednesday, April 30, 2014.
box
I plan to make a public statement at the hearing. My statement will be limited to ten minutes, and I will answer any questions which may arise. I will provide ten copies of my prepared statement.
box
I will address my remarks to the following subjects:




box
I do not plan to attend the above hearing.
box
I would like to be added to the Committees' mailing list for notices and reports.
box
I would like to be removed from the Committees' mailing list.
box
I will require assistance and/or handicapped accessibility information. Please specify the type of assistance required:




NAME:


TITLE:


ORGANIZATION:


ADDRESS:


E-MAIL:


TELEPHONE:


FAX TELEPHONE: