Professional Development Request Form
This form should be used to request services and support from our most current Professional Development Catalog.
School Name(s) with Code(s)
List as School Name (School Code); Example School (1234-567)
Please indicate if the schools participating fit it any of the following categories
Comprehensive School Improvement (CSI)
Targeted School Improvement (TSI)
Additional Targeted Support and Improvement (ATSI)
School At-Risk (SAR)
Physical address of the professional development session.
Cross-Curricular: Power of a Positive Classroom
Cross-Curricular: The Basics of Behavior Management Phase I
Cross-Curricular: The Basics of Behavior Management Phase II
Cross-Curricular: Active Engagement
Cross-Curricular: Teaching with Technology
Cross-Curricular: If These Walls Could Talk
Cross-Curricular: Access for All
Cross-Curricular: Effective Co-Teaching Practices
Cross-Curricular: Going Meta
Cross-Curricular: Engaging Vocabulary Instruction for All
Cross-Curricular: Comprehension Across Content
Cross-Curricular: Writing Across the Curriculum
Cross-Curricular: Escape the Classroom
Cross-Curricular: Providing Engaging Experiences for Parents
Cross-Curricular: Learning Walk
ELA: Overview of the MS CCRS for ELA:
ELA: Building Foundational Skills (K-3)
ELA: Teaching Engaging Vocabulary Techniques (K-5)
ELA: Teaching Effective Comprehension Strategies (K-5)
ELA: Five Components of Reading (K-5)
ELA: Creating Critical Thinkers (K-8)
ELA: Engaging Vocabulary in the Secondary ELA Classroom (6-12)
ELA: Comprehension in the Secondary ELA Classroom (6-12)
ELA: Literacy for the Secondary ELA Classroom (6-12)
ELA: Developing Young Writers (K-8)
ELA: Writing in the CCRS Classroom
ELA: Individualized PD
Mathematics: Overview of the MS CCRS for Mathematics
Mathematics: F-U-N with S-M-Ps
Mathematics: Building a Strong Foundation for Base 10 (K-2)
Mathematics: Using Appropriate Tools and Manipulatives
Mathematics: Let's Talk Math
Mathematics: Individualized PD
Science: Overview of the MS CCRS for Science
Science: Interpreting the MS CCRS for Science
Science: A Closer Look at the Science and Engineering Practices
Science: Creating 5E Lessons for Science
Science: Reforming Cookbook Labs
Science: Individualized PD
Special Education: Classroom Design and Functional Skill Building in the SCD Classroom
Special Education: New Special Education Teacher Training
Special Education: Navigating the Mississippi Alternate Academic Achievement Standareds
Special Education: Transforming Transition
Special Education: Developing Meaningful and Purposeful IEPs
Special Education: Determining the Needs for Students with Visual Impairments
If you selected individualized PD in the previous question, please indicate which standard(s) or domain(s) are the focus for your request.
Number of participants
A minimum of 15 participants is required for all sessions. If you are unable to meet this number, you may open your session for a regional training.
Are you willing to host this as a regional training?
Audience (Select all that apply)
Central Office Staff
If teachers or instructional coaches will be in the audience, select the content areas that will be represented. Please note that all content sessions must have at least one representative from special education.
For ELA and mathematics, only one grade band should be selected for each requested.
Preferred date(s) or date range(s) of PD session.
Please provide 3
Will CEUs and/or SEMIs be provided?
If this is a content-specific session, please list the materials being used as a curriculum for the grade bands and/or content areas selected. Include publisher-created, open-education, and locally-developed resources.
What does your data show specifically that indicates a need for this training?
Will follow-up coaching services be requested for this training?
Name of the administrator who will attend this training and be responsible for monitoring implementation.
Email of this designee.
Work and cell number of this designee.
Name of approving administrator.
Title of the approving administrator
Special Education Director
Federal Programs Director
Professional Development Director
Email address of approving administrator
Additional questions or comments
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