RIDLEY SCHOOL DISTRICT

PROFESSIONAL DEVELOPMENT CONTRACTUAL DAY

Complete this form and submit it to your building principal, Director of Special Education

or the appropriate curriculum director for approval. Upon completion of the activity, present required documentation to the supervisor who will verify the activity and send this completed form to the Director of Support Services.

APPROVAL OF ACTIVITY

Ø  I have read the guidelines, based upon contract language, for the Professional Development Contractual Day.
Ø  I will complete the project described below with an hourly commitment equal to or greater than the hours indicated.
Ø  Within 2 weeks of completion, I will submit the required demonstration of my project with my supervisor’s signature to the Director of Support Services as evidence that I have completed some or part of my contractual day professional development obligation.
Faculty signature Date
Supervisor signature Date

Name Date

Building Grade Subject

PD Activity

In order to receive Act 48 credit and contractual day credit, you must give the specific date, day,

and number of hours for the activity. The activity must be a minimum of three (3) hours.

Day/Date: / Start time: / End time:
Total number of hours: / Location of activity:

Check the appropriate PD area(s) that pertain to this workshop (activity must be eligible for Act 48 credit)

Content knowledge / Assessment / Standards and curriculum alignment
Instructional strategies / Technology / Principles of teaching and learning
Safe and caring environment/learning
climate

Description of your PD Activity


RPI Course /
Conference / PDE on-line course from
eMBEDDED LEARNING
Intermediate Unit Workshop Other / Other (describe)

Describe observable and measurable outcomes (BE SPECIFIC)

How do you plan to demonstrate completion of your project?

Written report / Presentation to colleagues (indicate when and where)
Curriculum unit / Assessment instruments
Standards aligned documents / Other

VERIFICATION THE PROFESSIONAL DEVELOPMENT ACTIVITY HAS BEEN SUCCESSFULLY COMPLETED

The professional employee name above has successfully completed the described activity for credit toward the

professional development extra-contractual day.

Supervisor’s signature Date

Submit the signed form to the Director of Support Services

It is the mission of the Ridley School District to create a caring environment that gives all students the opportunity to

achieve their fullest personal and academic potential in order to become productive and responsible citizens.

Revised 7/6/09