Voluntary Registration of Nonpublic Nursery Schools and Kindergartens

SAMPLE

STAFF STUDY PLAN

Voluntary Registration of Nonpublic Nursery Schools and Kindergartens

Name of Staff _________________________________________________________________

Name of School _______________________________________________________________

Location of School _____________________________________________________________

Educational Director ____________________________________________________________

Position ______________________Grade(s) Currently Teaching: ________________________

Overall Education & Employment Goal(s):

Current Status of Education:

Continuing Education Plan(s):

College/Institution Enrolled _____________________________________________________

Degree Goal __________________________Certification Goal ________________________

Statement of Intent

I verify that the above information represents my intentions to further my education to pursue permanent certification.

__________________________ _________

Signature Date