Kenmore Staff Development Center Out of Target Audience Application for Career Credit 2019-20
This form is to be completed by KAA, KTA, KTSEA and non-represented employees who wish to receive career credits for a workshop/course in which their staffing category is not listed as an approved portion of the Target Audience. Approved participants will need to complete a brief synopsis which describes how the learned knowledge will be used.

PLEASE NOTE: ALL REQUESTS FOR OFFSITE CREDIT MUST BE RECEIVED PRIOR TO THE START OF THE WORKSHOP/COURSE YOUR WISH TO ATTEND.

First Name *
Your answer
Last Name *
Your answer
Please include your work day email address *
Your answer
Location *
Other Building: Please record the name of your primary work location in the blank.
Your answer
Employee Number *
Your answer
Bargaining Unit *
Current Position *
Other: If you answered "Other" please write your position in the blank.
Your answer
Title of Workshop/Course *
Your answer
Location of Workshop/Course - If your workshop occurs online, write "online" in the blank. *
Your answer
Please provide a brief statement explaining the relevance of this course/workshop to your professional duties: *
Your answer
Submit
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