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Professional Development Opportunity Form
Complete form prior to PD event and submit for approval.  
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Request Date   *
Attendee's  Name:
Date of Event  
Teaching Position
Grade Level
Other funds requested
Title of Learning Opportunity
Check One *
Check only One *
Check ALL that apply
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Choose 1 CSIP Goal this opportunity aligns with.
What PD Goal does this opportunity align with?  (Goals are listed in the PDC Handbook which can be found on the Z-drive)
Workshop Registration Cost
Substitute Pay ($80.00/day)
Lodging Cost
Mileage Cost ($0.38/mile)
Other Expenses (explain)
Principal's Signature/Date:  
PDC Chair Signature/Date:
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