Example PD reporting form

Suggested recordkeeping form for:

REQUIRED PROFESSIONAL DEVELOPMENT FOR EDUCATORS

NAME SUPER SCHOOL DISTRICT NAME

Educator Name:

Beginning Year:

Date of PBTE

Name of evaluator

   
   
   
   

Mentor

Subject area

Observation
date(s)

Meeting/discussions

Year

         
         

Beginning Teacher Assistance at:

From/to:

Professional Development Class/Courses

Date

Name of Class/Course

Characteristics

Contact
Hours

Current
Year

Year
Total

           
           
           
           
           
           
           
           
           
           
           

Initial Certification requires total of 30-contact hours.

Career Certification requires 15-contact hours yearly.

 

Data Screen:   Educator       (name)          met the yearly requirements to continue his/her current certificate of license to teach.  The number of PD hours completed are:________