Professional Development Planning Form-Sample Appendix K

Professional Development Planning Form-Sample Appendix KName:Department:Level of Education:Date:Job Title:Review Date(s):My ultimate / overall personal professional goal:Goals – (Aminimum of 2)1. Goal reflectsdata requiredfrom fundingsource orscope ofservice.2. Goal reflectspersonalprofessionalplan.Activities toAccomplishIndicators ofSuccessTime LinesDate Achieved

Required TrainingsMandatory Child Abuse &NeglectVoices DVD TrainingsBest Practice TrainingsCPRFirst AidEarly Childhood Iowa Congress(at least once)Day on the Hill (at least once)NACCRRA ProfessionalDevelopment InstituteNACCRRA Policy SymposiumVarious NACCRRA TrainingsProfessional “Want”TrainingSNote: “In order to attend trainings you must have all your work completed and up to date,have not attended more than 2 trainings or more is one fiscal year, and your budget /funding allows it.”DateDateSignatureSupervisor SignatureReview Meeting:Date:DateDateSignatureSupervisor SignatureReview Meeting:Date:DateDateSignatureSupervisor Signature