Summary of Professional Development Activities	Appendix M	Adopted: 7/1/17

Educator Name: ______________________________	District: ______________________

Directions: Please list below all completed Professional Development activities (CEUs, Coursework, EOAs) included in the attached packet of materials you have submitted. Verification of college credit must also be submitted on original transcript or e-transcript with water mark or seal.
	
	Note: 10 Clock Hours = 1 CEU
	
Title of
Professional Development
	PD
Date
	CEUs
	PD
Stnd 1
	PD
Stnd 2
	PD
Stnd 3
	PD
Stnd 4
	PD
Stnd 5
	PD
Stnd 6
	PD
Stnd 7
	
		Hours

										

										

										

										

										

										

										
										
Standard 1 - Learning Communities	Standard 5 - Learning Designs Standard 2 - Leadership	Standard 6 - Implementation Standard 3 - Resources	Standard 7 - Outcomes
Standard 4 - Data
	
* * Duplicate this Page as Needed	(See Appendix N for Conversion Chart)

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