(Make a copy of this sheet before filling out...file, make a copy...on your copy make sure to erase these words)

RSU 29 Professional Teacher Action Plan

Name:

Position:

Certification Endorsement Held:  

Date of Next Renewal:

Goal 1 (specific to your endorsement):  

Activities

Assessment

Date Completed (by April of certification year)

Goal 2:  To keep current with trends in education.

Activities

Assessment

Date Completed (by April of certification year)

Date Presented to PLCSS for approval: ___________  

Signature of Chair: __________________________

Date Presented to PLCSS for verification: ___________

 Signature of Chair: _________________________