Professional Development Clock Hour Approval Form

Professional Development Details

Session Title*

Session Description*

Write a statement showing the relationship between the content of the PD activity, specific relevant standard(s), and at least one of the following criteria established for PD activities:*

- Engages participants over a sustained period of time allowing for analysis, discovery, and application as they relate to student learning, social or emotional achievement, or well-being; or
- Aligns to the licensee's performance (evaluation); or
- Includes outcomes that relate to student growth or district improvement; or
- Aligns to State-approved standards; or
- Are college courses.

Explain the intended impact on student learning or well-being*

Name of Presenter(s)*

Standards for Professional Learning (Learning Forward)*

Select ALL of the standards that apply to the activity for which credit is being requested.

Learning Communities: Professional learning that increases educator effectiveness and results for all students occurs within learning communities committed to continuous improvement, collective responsibility, and goal alignment.
Leadership: Professional learning that increases educator effectiveness and results for all students requires skillful leaders who develop capacity, advocate, and create support systems for professional learning.
Resources: Professional learning that increases educator effectiveness and results for all students requires prioritizing, monitoring, and coordinating resources for educator learning.
Data: Professional learning that increases educator effectiveness and results for all students uses a variety of sources and types of student, educator, and system data to plan, assess, and evaluate professional learning.
Learning Designs: Professional learning that increases educator effectiveness and results for all students integrates theories, research, and models of human learning to achieve its intended outcomes.
Implementation: Professional learning that increases educator effectiveness and results for all students applies research on change and sustains support for implementation of professional learning for long-term change.
Outcomes: Professional learning that increases educator effectiveness and results for all students aligns its outcomes with educator performance and student curriculum standards.

Activities*

Select ALL of the activities that apply to the program for which credit is being requested:

Increase the knowledge and skills of school and district leaders who guide continuous professional development
Improve learning of students
Organize adults into learning communities whose goals are aligned with those of the school and district
Deepen educator’s content knowledge
Provide educators with research-based instructional strategies to assist students in meeting rigorous academic standards
Prepare educators to appropriately use various types of classroom assessments
Use learning strategies appropriate to intended goals
Provide educators with the knowledge and skills to collaborate
Prepare educators to apply research to decision-making

Step 1 of 4

Requestor Details

Professional Development Details