Form B
SOUTHWEST LOCAL SCHOOL DISTRICT
LOCAL PROFESSIONAL DEVELOPMENT COMMITTEE

PROFESSIONAL DEVELOPMENT REPORT
Pre-Approval of College Course Work

Please remember that all forms must be turned in PRIOR to beginning course work
SLPDC meets in August, November, February and May (2nd Wednesday of the Month)

Name
E-Mail Address
Building
Course Title
University offering Course:
Department:
Number of Credit Hours
Type: (Semester or Quarter)
Dates of Course:
Time and Location:

If you are currently enrolled in a graduate degree program, will this course apply toward fulfillment of that degree?

Yes - No - Not Applicable

Do you have a PDP on file?
(please type: yes or no)

Yes or No

Course Objectives?

Indicate how this college course supports your professional development plan

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.