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Teaching and Learning Professional Development MASD Act 48 Submission
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* Indicates required question
PPID
*
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Middle Initial (optional)
Only use letters, no punctuation.
Your answer
IU Course Number (Office Use Only.)
Your answer
Course/Activity Name
*
Your answer
Course/Activity Type
*
Choose
Act 48 Professional Development Activity
Course/Activity Subject Area
*
Choose
Teaching and Learning Professional Development
Course/Activity Sub Category
*
Select the ONE that best describes your activity from the drop down menu.
Choose
Teaching Techniques and Strategies
School and Community Collaboration
OPEN Education (LSI Online)
Interdisciplinary
Individualized Instruction
Behavioral Objectives/Discipline
College Credit Type (Office Use Only)
Your answer
Total Clock Hours
*
This is the total possible hours you could earn.
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
Other:
Required
Start Date
*
You must use this format 00/00/2011.
Your answer
End Date
*
You must use this format 00/00/2011.
Your answer
Hours attended cannot exceed 6 hours/day unless you provide further information in the final comment box.
Hours Attended / Credits Awarded
*
(6 hours/day maximum, unless further information is provided in the comment box, last question.)
1
1.5
2
2.5
3
3.5
4
4.5
5
5.5
6
Other:
Required
Overall Rating of Activity
*
Exceptional
Good
Poor
Required
Briefly describe the activity and how you will be able to apply this to your educational setting.
*
If you are requesting more than 6 hours, please also include an explanation.
Your answer
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