Form C
SOUTHWEST LOCAL SCHOOL DISTRICT
LOCAL PROFESSIONAL DEVELOPMENT COMMITTEE

PROFESSIONAL DEVELOPMENT REPORT
Pre-Approval of Professional Development Units for Workshops

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
Program Title
Program offered by
Program contact person
Number of PDUs
Dates of Program:
Time and Location:

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

Yes or No

Program Content (please send Laura Scrivner a Program Agenda)

Intended Learning Outcome:

 

Indicate how this program 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.