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Example PD reporting form

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Example PD reporting form

Suggested recordkeeping form for:

REQUIRED PROFESSIONAL DEVELOPMENT FOR EDUCATORS

Superintendent/School District Name

____________________________________

Educator Name:

Beginning Year:

Date of PBTE

Name of Evaluator

 

 

 

 

 

 

 

 

Mentor

Subject Area

Observation Date(s)

Meeting/Discussions

Year

 

 

 

 

 

 

 

 

 

 

Beginning Teacher Assistance At:

From/To:

Professional Development Class/Courses

Date

Name of Class/Course

Characteristics

Contact Hours

Current Year

Year Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


Career Certification requires 15-contact hours yearly.Initial Certification requires total of 30-contact hours.

Data Screen:   Educator       (name)          met the yearly requirements to continue his/her current certificate of license to teach.  The number of PD hours completed are:________