Professional Development Planning Form

Professional Development Planning Form 001

Directions: Complete each field as indicated. After all information has been entered, click "Send Form to HRD." Your form will be checked for certain omissions, and if everything is OK you will receive a confirmation that your form was sent. If there are problems, you will be returned to this screen to correct your information, then you can click the "Send Form to HRD" button again.

Activity Title

Dates
(Click the date on the calendar and it will be added to the list of dates on the right. Click the date again to remove it.)

< August 2008 >

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Selected Dates:

Coordinator's Name

Coordinator's Title

Coordinator's Work Location

Coordinator's Phone

Coordinator's Email

Planned Fund Source

Special Notes
Use this space to inform others of specific information concerning the activity that may be of importance or interest.

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Related MIP Component Number

State Professional Development Focus Area

Subject Content/ Sunshine State Standards
Instructional Methodology
Technology
Assessment & Data Analysis
Classroom Management
School Safety/ Safe Learning Environment
Parent/ Family Involvement
Management/ Leadership/ Planning
General Support

Targeted Participant Group

Professional Development Credit Points Planned for Activity/ Assessment

Professional Development Credit Points Planned for Follow-Up

Total Credit Points (This field is automatically calculated based on your two previous answers).

How does this activity support the District Mission?
"The Mission of the Polk County Public Schools is to ensure rigorous, relevant learning experiences that result in high achievement for our students."

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Related Polk County School Board Strategic Plan Element(s)
(Check all that apply, but at least one)

Clear School/District Mission
Opportunity to Learn
High Expectations
Monitoring of Student Progress
Instructional Leadership
Safe and Orderly Environment
Stakeholder Partnerships

Related Florida Educator Accomplished Practices
(If applicable, check all that apply)

Assessment
Communication
Continuous Improvement
Critical Thinking
Diversity
Ethics
Human Development & Learning
Knowledge of Subject Matter
Learning Environments
Planning
Role of the Teacher
Technology

Related Florida
Goal-3 Standards
(If applicable, check all that apply)

Information Manager
Effective Communicator
Numeric Problem Solver
Creative and Critical Thinker
Ethical and Responsible Worker
Resource Manager
Systems Manager
Cooperative Worker
Effective Leader
Culturally Sensitive Learner

Related Florida Leadership Standard(s)
Check only if professional development is related to administrators

Vision
Instructional Leadership
Managing the Learning Environment
Community and Stakeholder Partnerships
Decision Making Strategies
Diversity
Technology
Learning Accountability and Assessment
Human Resource Development
Ethical Leadership

Linkage to National Staff Development Council Standards
(Check at least one in each group (A,B, & C), but you may select more than one in each group.)
A. Context Standards

Learning Community Focus & Organization
Leadership Participation and Support
Adequate Resources (Time, Money, Staff)

B. Content Standards

Equity Emphasis (Safe, Supportive, Expectant)
Quality Teaching (Rigor, Relevance, Relationship)
Parental Involvement Focus

C.. Process Standards

Data Driven Processes
Evaluation Focused (Achievement and Application)
Research-Based Content
Design-Aligned Goals, Strategies, Outcomes
Adult Learning Theory and Change Theory Applied
Collaboration Valued and Implemented

Rationale for Providing this Professional Development
(Check all that apply, but at least one)

District Disaggregated Student Achievement Data by Content Area and Skills
Other Data Provided by Principals/ Teachers Related to Student Achievement
IPGP Performance Gain Data Analysis
School-wide Analysis of Student Achievement Data
Other Student Performance Data Analysis
Faculty Level Performance Appraisal Data Analysis
District Strategic Plan Initiative
Personal Professional Growth Interests Indicated by Staff
Grade Level, Team or Departmental Alignment Analysis
Certification Needs
State or Federal Mandated Professional Development/ Training

Linked to District Priority Professional Development Needs
(Select only one)

Reading - Phonetic Awareness, Phonics, Fluency, Vocabulary, Comprehension
Reading in the Content Area
Math
Science
The Development of Learning Communities
Classroom Management
Alignment of Curriculum, Assessment and Instruction to Subject Area Standards
Differentiated Instruction and Other Instructional Strategies Designed to Engage the Learner
Application of Instructional and Support Technology
Assessment and Data Analysis
Management and Leadership Development
Diversity Issues
Transition To Teaching

Sunshine State Standards?

Yes No

If so, select subject first, then a related strand :

Subject Strand

Purpose or Goal of this Professional Development

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Specific Acquisition Objectives
(Must have one minimum, up to eight maximum)

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