Example PD Reporting Form
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:________