MSDE Quarterly Training Report
Note: ALL items REQUIRE a response. Please follow the instructions. If you conducted NO trainings during the entire quarter, please complete the form located at: https://goo.gl/5j1Y0y
Technical Support: (410)516-9855 | alan.guttman@jhu.edu
Support for ONLINE FORM data entry issues only. Not for questions related to content.
TRAINING PROFILE
For trainings conducted on or after October 1, 2017 ONLY
4th Quarter 2017 (October 1 - December 31) Data Entry Deadline: January 31, 2018
1st Quarter 2018 (January 1 - March 30) Data Entry Deadline: April 30, 2018
Approved Training Organization / Individual *
Name on file with MSDE. (This should be the name of the approved person or organization)
Your answer
Training Approval # *
Your answer
Course ID # *
If you do not know the course ID number enter NA
Your answer
Training Title *
Your answer
Training Presenter Name *
This is the person who presented the training
Your answer
Date of Training *
MM
/
DD
/
YYYY
Location of Training (If outside of Maryland select OTHER) *
State Where Training Was Conducted (if Maryland, leave blank)
Your answer
NUMBER OF CORE OF KNOWLEDGE HOURS
Please enter the number of Core Knowledge hours for this training. For areas with no hours please enter 0. You must enter a number or 0 for each item below. Enter NUMBERS ONLY. Decimals are permitted (e.g. 2.5). NO Letters, Spaces, or Special Characters
Enter Numbers Only (No letters, spaces, special characters)
CD (Child Development) *
Your answer
COM (Community) *
Your answer
CUR (Curriculum) *
Your answer
HSN (Health, Safety, and Nutrition) *
Your answer
PRO (Professionalism) *
Your answer
SN (Special Needs) *
Your answer
PARTICIPANTS PROFILE
Please enter the number of participants by license program type or Other. You must enter a number OR 0 for each item below. Enter NUMBERS ONLY. Letters, Spaces, and Special Characters are NOT PERMITTED.
# Licensed CENTER staff participants (if none, enter 0) *
Your answer
# Licensed FAMILY HOME staff participants (if none, enter 0) *
Your answer
# Other (if none, enter 0) *
Your answer
Enter your EMAIL ADDRESS below to receive a confirmation with the information you submitted
Your answer
To submit responses you MUST click the SUBMIT button
Responses will not be saved or submitted if you close this form before clicking the submit button. If you do not enter a response for each of the required items you will receive an error message and will be prompted to enter a response.
Submit
Never submit passwords through Google Forms.
This form was created inside of Maryland EXCELS. Report Abuse - Terms of Service - Additional Terms