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DOE OHR 200-012 STIPEND PROGRAM TEACHER SIGN-IN SHEET Last Revised 05/23/2013 Former DOE Form s N/A DEPARTMENT OF EDUCATION Office of Human Resources Reclassification Unit P. O. Box 2360 Honolulu HI 96804 Title of Training Activity Location of Training Activity Date s of Training Activity Training Sponsor Name Title Length of Training Activity 1/4 Day 1 Day Object Code 2802 Please Read This Stipend Program compensates certificated teachers and 10 month Educational Officers for attending voluntary training activities related to School and Complex/State goals and direction during non-work hours. Participants who receive stipends must attend the entire training activity there is no partial payments for attending part of a training. Payment of stipends is not allowed to non-certificated employees. My signature below indicates that I have read understand and am in agreement with the above statements. Name of Teacher Please Print DOE Employee ID number School or Office Today s Date Signature....

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How to use or fill out the DOE OHR 200 012 form online

This guide provides step-by-step instructions on how to fill out the DOE OHR 200 012 form online. The form is designed for certificated teachers and educational officers to request stipends for attending training activities.

Follow the steps to successfully complete the form online.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor for completion.
  2. Enter the title of the training activity in the designated field labeled 'Title of Training Activity'.
  3. Provide the location of the training activity in the 'Location of Training Activity' field.
  4. Fill in the date of the training activity in the 'Date(s) of Training Activity' section.
  5. Indicate the time of the training activity in the 'Time of Training Activity' field.
  6. Fill in the information for the training sponsor, including name and title, in the designated field.
  7. Select the length of the training activity by checking the appropriate box for 1/4 day, 1/2 day, 3/4 day, or 1 day.
  8. Note the object code '2802' in the relevant section as it is a required entry.
  9. Read the instructions regarding stipend eligibility and ensure you understand them.
  10. Print your name in the 'Name of Teacher' section, provide your DOE employee ID number, and specify your school or office.
  11. Fill in today’s date in the designated field.
  12. Sign the form to indicate that you have read and understand the stipulations of the stipend program.
  13. Review all fields for accuracy and completeness before finalizing.
  14. Once completed, save your changes, and then you may choose to download, print, or share the form as needed.

Complete your DOE OHR 200 012 form online today to ensure you receive your stipend for training!

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