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Professional Development Opportunity Form
Complete form prior to PD event and submit for approval.
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Request Date
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Attendee's Name:
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Date of Event
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Teaching Position
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Grade Level
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Other funds requested
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Title of Learning Opportunity
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Check One
*
Inservice
Workshop
Class
Other (describe)
Required
Check only One
*
PDC is requesting teacher to attend workshop.
Administration is requesting teacher attend workshp
Teacher is requesting to attend workshop
Other:
Check ALL that apply
Helps fulfill my professional development plan.
Meets needs of district professional development plan.
Helps fulfill district CSIP.
Clear selection
Choose 1 CSIP Goal this opportunity aligns with.
Choose
Goal 1 - Develop and enhance quality instructional programs to improve student academic performance.
Goal 2 - Recruit, attract, and retain highly qualified staff.
Goal 3 - Improve facilities, support, and instructional practices.
Goal 4 - Improve parent and community involvement.
Goal 5 - Govern the district in an efficient manner which will benefit the students, staff, and patrons of the district.
What PD Goal does this opportunity align with? (Goals are listed in the PDC Handbook which can be found on the Z-drive)
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Workshop Registration Cost
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Substitute Pay ($80.00/day)
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Lodging Cost
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Mileage Cost ($0.38/mile)
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Other Expenses (explain)
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Principal's Signature/Date:
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Status
Approved
Not Approved
PDC Chair Signature/Date:
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