Act 48 (Professional Development) Tracker
The purpose of this survey to act as a sign-in/sign-out sheet AND evaluation so that you may be awarded Act 48 hours and/or hours towards professional development requirements. Please answer the items below and contact me if you have any questions. Your feedback will be shared with the presenters, however your name will not be. You MUST submit a new entry for each different activity. Hours will be monitored at the end of every month and uploaded to PDE - but NOT 48 Carats.

****NOTE - PDE Guidelines indicate that hours MUST be awarded within 30 days of the activity. To avoid any complications, please complete this on the day of your training.****

Last Name?
Your answer
First Name?
Your answer
What is your PPID? This is a REQUIRED ITEM FOR FACULTY and is ONLY for faculty.
7 digit number - visit here if you do not know it: https://www.perms.ed.state.pa.us/Screens/wfPublicAccess.aspx
Your answer
What is the name of your activity?
If you are unsure, ask your presenter for the title. Examples include "Back to School Goal Setting", "Data Review". If you are unsure, ask your presenter for the title.
Your answer
On what date did you begin your activity?
If you attended a multi-date activity, use the first date of the activity. If it is a one day activity, this response should be identical for the next item.
MM
/
DD
/
YYYY
On what date did you complete your activity?
If you attended a multi-date activity, use the last date of the activity. If it is a one day activity, this response should be identical as the previous item.
MM
/
DD
/
YYYY
Who sponsored/facilitated your activity?
Include the agency and individual's name.
Your answer
What time did you activity start?
Time
:
What time did you activity end?
Time
:
How many Act 48 hours were awarded for your activity?
You will earn 7 hours for Summer Training/Academies at HASD. If the amount is not made explicit by the presenters, please calculate how much time you spent participating in the activity. Please subtract time you spent for lunch from your total.
Your answer
What kind of feedback do you have for your presenter?
List "None" if you do not have any feedback.
Your answer
What questions do you have after attending your activity?
List "None" if you do not have any questions.
Your answer
Please rate your activity.
Strongly Agree
Agree
Disagree
Strongly Disagree
Activity was well organized.
Objectives clearly stated.
Specific activities and tasked were relevant to objectives.
Necessary materials/resources were provided or made available.
The presenters planned well.
The presenters were knowledgeable in the subject area.
The presenters employed effective teaching strategies/techniques.
The presenters were objective and interacted with participants.
This activity should be offered again.
If offered again, the same presenters should lead the activity.
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