Professional Development Plan - McDonald County R-1 School ...

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ACTIVITY REQUEST FOR PROFESSIONAL DEVELOPMENT ACTIVITIES 2011-2012 BUDGET CODE: PR______________________________ (filled out by PDC Chair) Please check the CSIP goal number this activity addresses: Goal 1 _____ To Improve Student Performance Goal 2 _____ To Employ and Retain High-Quality Staff Goal 3 _____ To Provide Appropriate Facilities, Support Services, and Instructional Resources Goal 4 _____ To Increase Parent and Community Involvement Goal 5 _____ To Govern the District Efficiently and Effectively. Name_____________________________________________________________ School/Teaching Assignment__________________________________________ Date of Activity_____________________________________________________ Title of Activity_____________________________________________________ (Southwest Center requires self registration) Activity Approved by _______________________________________________ Signature of Principal, Director or Program Supervisor ____ Register myself (Required if online) ____PDC registers me ____Southwest Center (Must register yourself) PDC Internal Payment: Cost of Conference/Workshop with P.O. Substitute Pay ($80.00) Sub-total internal payment $_________________ $_________________ $_________________ PDC Payment to Teacher: Mileage _____miles x .40 = $__________________ (Southwest Center activities, $20.00 round trip) Meals ______ days (when not supplied) $__________________ Lodging $__________________ Conference/Workshop (if you pre-pay) $__________________ Sub-total amount to teacher $__________________ TOTAL COST $_______________ Payment Schedule: 1. Travel: Mileage expenses will be determined based on current school district rate 2. Meals: $10 for 1 st day of single conference; $25 for each consecutive day 3. Lodging: Appropriate costs, you MUST present receipt with Payment Request 4. Conference/Workshop: Paid only if the activity was approved BEFORE attendance or if required by district/job. 5. A. Payment Request MUST be submitted within 30 contract days after the activity to be paid. B. ALL expenses MUST be PRE-APPROVED Explain how this activity addresses the CSIP goal(s) you selected: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ For Professional Development committee Use Only: Date:_______________________________________ ______Approved ______Denied Reason the activity was denied: __________________________________________________________ ____________________________________________________________________________________ Signature of Chair:____________________________________________________________ **MUST be submitted to building representative 30 contract days after activity. 6
PAYMENT REQUEST FOR PROFESSIONAL DEVELOPMENT ACTIVITIES 2011-2012 BUDGET CODE: PR______________________________ (filled out by PDC Chair) Name_____________________________________________________________ School/Teaching Assignment__________________________________________ Date of Activity_____________________________________________________ Title of Activity_____________________________________________________ PDC Payment to Teacher: Mileage _____miles x .40 = (Southwest Center Activities, $20.00 round trip) Meals ______ days (when not supplied) Lodging Conference/Workshop (if you pre-pay) TOTAL COST $__________________ $__________________ $__________________ $__________________ $_______________ Payment Schedule: 1. You must attach a certificate of attendance. If no certificate is available, you must show documentation of attendance. 2. Travel: Mileage expenses will be determined based on current school district rate 3. Meals: $10 for 1 st day of single conference; $25 for each consecutive day 4. Lodging: Appropriate costs, you MUST present receipt with Payment Request 5. Conference/Workshop: Paid only if the activity was approved BEFORE attendance or if required by district/job. 6. A. Payment Request MUST be submitted within 30 contract days after the activity to be paid. B. ALL expenses MUST be PRE-APPROVED. EVALUATION OF CONFERENCE/WORKSHOP 1. How will this activity impact your instructional program ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ For Professional Development committee Use Only: Date:______________ Signature of Chair:_________________________ OVER 7
Page 1 and 2: McDonald County R-1 School District
Page 3 and 4: STATEMENT OF PURPOSE: Planned profe
Page 5: POLICIES FOR REIMBURSEMENT The Prof
Page 9 and 10: **MUST be approved 30 days prior to
Page 11 and 12: PROFESSIONAL DEVELOPMENT PLAN FIRST
Page 13 and 14: Please check all activities accompl
Page 15 and 16: PROFESSIONAL DEVELOPMENT LOG FOR 1
Page 17 and 18: PROFESSIONAL DEVELOPMENT PLAN SECON
Page 19 and 20: PROFESSIONAL DEVELOPMENT MENTOR/MEN

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