Appendix F Form #1 (TEA) Revised: 7/1/17

Jefferson County Educational Service Center Consortium Local Professional Development Committee Individual Professional Development Plan Basic Information

		
	
Please complete the following:	(Please Type)

Name 	           Date	

District	                        Building	

Home Address 	

Phone Numbers - Home:	        School:	

E-Mail	

Current Teaching/Administrative Assignment

Grade(s)	      Subject Area(s)	      Building Level	     #of Years	

Previous Teaching/Administrative Assignment (Most Recent Only)

Grade(s)	      Subject Area(s)	      Building Level	     #of Years	

Total # of Years Teaching/Administrative Experience 	

			

		
	License 1 	License 2	License 3

Educator State Identification Number

Subject Areas Listed on This License

Effective Date New License Begins

			

	
	Please Note:	This Completed and Signed 4-page IPDP (Form #1 & Form #2) must be submitted to your District Superintendent’s Office at the same time you submit your Renewal Packet.

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Appendix F Form # 2 (TEA) Adopted: 6/17/15

Individual Professional Development Plan

Name 	

[ Teachers ]

Date 	

To complete your Individual Professional Development Plan (IPDP) please select only three [3] of the five goals listed below as your Professional Development Goals.

Under each goal you have selected, please select at least two [2] Professional Development Activities that appropriately describe professional development in which you plan to participate over the next five years.

DOMAIN A
Goal I: To improve my professional competency and proficiency levels in knowing and organizing content knowledge for student learning. (Aligns with Ohio Standards for Professional Development 1, 4, and 5)

Activities
I will participate in college or university coursework, CEU experiences, and/or EOA options that will provide opportunities to acquire and implement higher level knowledge, skills, and/or techniques so that I

A 1. will become familiar with my students’ background, knowledge, and experiences. A 2. will be able to articulate clear and appropriate learning goals for my students.
 A 3. will be able to demonstrate a connection between learned content, current content, and content yet to be learned.

A 4. will be able to select student-appropriate teaching methods, learning activities, technology, materials, and other resources that align with my goals.

A 5. will be able to select student-appropriate assessment strategies that align with my goals.

DOMAIN B
Goal II: To improve my professional competency and proficiency levels in creating a positive environment for student learning. (Aligns with Ohio Standards for Professional Development 1, 4, and 5)

Activities
I will participate in college or university coursework, CEU experiences, and/or EOA options that will provide opportunities to acquire and implement higher level knowledge, skills, and/or techniques so that I

B 1. will be able to develop and maintain a climate that promotes fairness. B 2. will be able to develop and maintain rapport with students.
B 3. will be able to communicate challenging learning expectations to students.
B 4. will be able to establish and maintain consistent classroom behavior standards.
B 5. will be able to keep the physical environment safe and conducive to learning at all times.

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Appendix F Form # 2 (TEA) Adopted: 6/17/15

DOMAIN C
Goal III: To improve my professional competency and proficiency levels to teach for student learning. (Aligns with Ohio Standards for Professional Development 1, 2, and 6)

Activities
I will participate in college or university coursework, CEU experiences, and/or EOA options that will provide opportunities to acquire and implement higher level knowledge, skills, and/or techniques so that I

C 1. will be able to make goals and instructional procedures clear to students. C 2. will be able to make content comprehensible to students.
C 3. will be able to encourage students to extend their thinking.
C 4. will be able to monitor students’ understanding of content, provide feedback, and adjust learning activities accordingly.

C 5. will be able to use instructional time effectively and efficiently.

DOMAIN D
Goal IV: To improve my competency and proficiency levels in teacher professionalism. (Aligns with Ohio Standards for Professional Development 1, 2, and 3)

Activities
I will participate in college or university coursework, CEU experiences, and/or EOA options that will provide opportunities to acquire and implement higher level knowledge, skills, and/or techniques so that I

D 1. will be able to reflect on and determine the extent to which learning goals were met. D 2. will be able to demonstrate my teaching effectiveness.
D 3. will be able to build productive professional sharing relationships with colleagues.
D 4. will be able to communicate more effectively with parents/guardians regarding student progress.

Goal V: To improve my professional competency and proficiency levels in activities that enable me to help other professional educators grow. (Aligns with Ohio Standards for Professional Development 1, 3, and 6)

Activities
I will participate in college or university coursework, CEU experiences, and/or EOA options that will provide opportunities to acquire and implement higher level knowledge, skills, and/or techniques so that I

 1. will be able to provide PD training experiences for other professional educators.  2. will be able to supervise/evaluate professional educators in the educational setting.
 3. will be able to share higher level knowledge, skills, or techniques with other professional educators.  4. will be able to support the acquiring of additional instructional and/or PD resources through local,
state, and national sources. (Example: Grant writing)

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Appendix F Form # 2 (TEA) Adopted: 6/17/15

■	 I certify that the informational items and responses provided in this IPDP are true and accurate to the best of my knowledge.

_____________________________________ Teacher Signature

_______________________ Date

To be completed by LPDC only

	Approved as submitted on: 	

	Not approved: resubmit with revision(s) noted below by: ________________________ Date

LPDC Subcommittee Member

LPDC Subcommittee Member

LPDC Subcommittee Member

LPDC Subcommittee Member

LPDC Subcommittee Member

LPDC Subcommittee Member

Necessary revisions or comments:

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