Form A
SOUTHWEST LOCAL SCHOOL DISTRICT
LOCAL PROFESSIONAL DEVELOPMENT COMMITTEE

PROFESSIONAL DEVELOPMENT PLAN
for Licensure Conversion or Renewal

Name
E-Mail Address
Building
New PDP or Revision: Type NEW or REVISION

Current Certification/Licensure

Area Type Grade Expiration Date
1
2
3

Which Certificate(s) and/or License(s) does this plan address?


Please list your professional development goals below. (Include references to your personal, building and district goals as well as continuous improvement plans)


PLEASE print this page PRIOR to hitting SUBMIT as this is your only copy of this form.

Hitting SUBMIT will email this form to Laura Scrivner at District Office 

Please email Stephanie.Hale@southwestschools.org or Laura.Scrivner@southwestschools.org with questions or problems
2005/2006 School Year
Revised: 10/04/07.