Form Ccf-139 - Request For Educational Salary Advancement Licensed Employee
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19998-500139
CCF-139
Rev. 03/14
REQUEST FOR EDUCATIONAL SALARY ADVANCEMENT
LICENSED EMPLOYEE
Educational salary advancement (horizontal movement) on the Annual Teacher Salary Schedule is an annual process open to all current licensed employees, who will be
completing an advanced PK-12 education-related degree and/or additional coursework. To initiate the salary advancement, licensed employees are required to submit a
completed CCF-139, Request for Educational Salary Advancement Licensed Employee, to the Employee Contracts and Compensation Department in the Human Resources
Unit #032 by June 1 of the current contracted school year in order to be effective for the next school year. Educational salary advancement is made in accordance with Article 26
(Professional Compensation) of the (licensed) Negotiated Agreement between the Clark County School District (CCSD) and the Clark County Education Association (CCEA) and
Clark County School District Regulation 4292 (Placement and Advancement on the Teacher Salary Schedule). It is the responsibility of the employee to review the criteria required
in the current (licensed) Negotiated Agreement and Regulation 4292 for salary advancement to ensure that the degree and/or coursework will be in compliance and acceptable.
All coursework and/or advanced degree requirements (including thesis and/or dissertations, projects, and oral examinations) must be completed prior to the last
working day in September and must be completed after the date the degree was earned, e.g., after bachelor’s degree to advance to bachelor’s degree plus 16/32 and after
master’s degree to advance to master’s degree plus 16/32. Specifically excluded are courses which are not credit-bearing toward a degree or in-service courses not offered by
the District. Be advised that earned quarter credit does not equal semester credit and must be converted, e.g., quarter credit x 2 / 3 = semester credit.
Based on the CCF-139, Request for Educational Salary Advancement, the salary class advancement on the Annual Teacher Salary Schedule will automatically be processed
for the ensuing contracted school year. If a change or cancellation must be made, the employee must send an e-mail via InterAct to Teacher Salary Advancement or from an
outside computer to teachersalaryadv@interact.ccsd.net by the first working day in August to ensure the correct salary placement will be in effect for the first scheduled pay
date in September of the new school year.
To finalize and confirm the salary advancement, a completed CCF-138, Degree and/or Credit Tracking Form Educational Salary Advancement Licensed Employee, is required
to be submitted with all original transcripts to Employee Contracts and Compensation Department in the Human Resources Unit #032 by November 1. If it is revealed in the
formal audit performed after November 1 that the requirements for the salary advancement are not in compliance with Article 26 and CCSD Regulation 4292, the employee
shall be placed on the salary schedule to the step and class where otherwise entitled to include the deduction of any overpayment received.
PRINT NAME ACCORDING TO DISTRICT RECORDS (Last, First, M.I.)
IF DIFFERENT, NAME ON INTERACT
LAST 4-DIGITS OF SSN
CURRENT SCHOOL/WORK LOCATION NAME
LOC. NO.
Presently, my salary is based on the following degree and/or semester credit units:
Prior to the last working day of September of the ensuing contracted school year, I will
have earned the following degree and/or semester credit units:
(check one)
(check one)
q Bachelor’s Degree
Class A
q Bachelor’s Degree + 16 semester credits
Class B
q Bachelor’s Degree + 16 semester credits
Class B
q Bachelor’s Degree + 32 semester credits
Class C
q Bachelor’s Degree + 32 semester credits
Class C q Master’s Degree
Class D
q Master’s Degree
Class D q Master’s Degree + 16 semester credits
Class E
q Master’s Degree + 16 semester credits
Class E
q Master’s Degree + 32 semester credits
Class F
q Master’s Degree + 32 semester credits
Class F
q Educational Specialist Degree (Ed.S.)
Class E q
(As outlined in Article 26-1 of the licensed Negotiated Agreement, only
q Doctorate Degree (Ph.D/Ed.D)
Class G
Class F q
approved programs can be utilized for placement on Class E or F.)
Doctorate Degree (Ph.D/Ed.D)
Class G
q Advanced Studies Certification (ASC)
Class H
q
(As outlined in Article 26-2 of the licensed Negotiated Agreement, only
approved degrees can be utilized for placement on Class G.)
Advanced Studies Certification (ASC)
Class H
q
(As outlined in in Article 26-23 of the licensed Negotiated Agreement, only the
Coursework used to advance to the Advanced Studies
established approved and the certain number of Advanced Studies Certification (ASC)
18-credit hour programs required to be completed as per the imposed October 1, 2007
Certification (ASC) Class column H (or I) requires approval by
lock-in date can be utilized for placement on Class column H.)
the District. The District has not approved any of the courses
to advance to Class column H (or I) and thus advancement to
q
Advanced Studies Certification (ASC) AND
Class I
Class column "H" (or I) remains frozen.
Doctorate Degree (Ph. D/Ed.D)
(As outlined in Article 26-2 of the licensed Negotiated Agreement,
only approved degrees can be utilized for placement on Class I.)
EMPLOYEE SIGNATURE
HOME and/or CELL PHONE NUMBER
DATE
EDUCATIONAL SALARY ADVANCEMENT CONFIRMED BY – Employee Contracts and Compensation Department in the Human Resources Unit
New Teacher Induction Program (NTIP)
S
C
School Year _______________
Completed Not Completed
CODING DATA
Alternative Routes to Licensure (ARL) Completed Not Completed
School Year _______________
CONTRACTED SCHOOL YEAR
STEP
CLASS
CONFIRMED BY
DATE
AUDITED BY
DATE
Based on the final evaluation of degree and/or
semester credit units, confirmed placement on the
schedule is:
Distribution: White and Yellow Copy: Submit via school mail to Employee Contracts and Compensation Department in the Human Resources Unit #032
Pink Copy: Employee
032
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