Teacher's
Name: Today's Date:
District/Building: Grade: and/or Subject:
Title of
workshop/conference: Location:
Date(s) of
workshop/conference:
Number of hours of
workshop/conference:
From:
To:
(Excluding registration,
breaks and meal times)
Six
(6) hours of a conference/workshop is considered a full day of
professional development (excluding registration and meal times).
According to State guideline "no more than one full day of
professional development credit can be received on any given day."
Choose
only one option: If
1526 hours are needed, please check that box as well.
Substitute
Teacher
Needed: NO YES
From: To:
Substitute Requested:
Building principals are
responsible for contacting switchboard to arrange for substitutes.
Funding Source(s): Include
estimate of needed funds and appropriate ASN for each area
Registration: ASN:
Food: ASN:
Substitute: ASN:
Other: ASN: Lodging: ASN:
Signature of
Teacher:
Pre-Approval Granted:
(Building Administrator
Signature)
(Pre-Approval Date by Office of Instruction)
CONFIRMATION OF
WORKSHOP ATTENDANCE
~FOR SECTION 1526 ONLY!~
Once the
workshop/conference has been completed, please sign and return this
entire form to the PERSONNEL OFFICE
within one week of the
completed conference.
All hours will be credited once we have received this form.***PLEASE
KEEP A COPY OF THIS FORM FOR YOUR RECORDS***
Signature of Teacher or
Presenter:______________________________________________________Date:___________________________________
OFFICE USE ONLY:
COPY TO: Nan_______________
Patty_____________ Teacher______________
|