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PD002

PROFESSIONAL DEVELOPMENT REQUEST

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Effective professional development/growth opportunities benefit the individual professional as well as the school community. Our goal is to enrich both the individual and the collegial community, ultimately to benefit our students. In your request, please relate your professional development request to the school Strategic Plan, Mission and your own professional goals.

·  Your application requires approval by your Principal/Supervisor.

·  Give a hard copy of your application to your Principal/Supervisor.

·  Upon approval, the Principal/Supervisor will send a copy back to you so that arrangements for the event can be made.

·  All applications, including IBO PYP and DP requests must follow this protocol.

Applicant’s Name as it appears on your passport: / Date submitted:
Dates of attendance: / Dates a substitute is required:
Please notify the appropriate school official in charge of contacting substitutes.

Title of Conference, Course or Learning Activity: Briefly describe the professional learning activity. Attach conference overview flyer. Identify which sessions you plan to attend.

School Initiatives:

How will this activity contribute to current (or future) strategic action plans or other school initiatives? Please detail specific strategic action plans, and/or operational plans.

Professional Goals:

Please state specifically your relevant individual, team and/or professional goal(s).

How will this activity support you in reaching your professional goal(s)?

Collaboration:

How do you plan to share your learning from this activity to others in your department or team in order to maximize the potential impact on student learning?

Qualification Rubric (see PD003 on page 10): What’s your score? ______

Report of Collaboration Activity:

PD002 - PROFESSIONAL DEVELOPMENT REQUEST

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Name:
Event:
Dates: Division (select): PS/ES/US/ISW/Staff

Activity Details: Please specify (or estimate) the following funding and other details of this learning activity. Please indicate the amount in Euro.

Description: / Total Euro
Pre-Conference Registration Fees:
Registration Fees:
Approximate Travel Costs to and from Conference (airport transfer /train/ bus/taxi etc.)
Hotel:
Single: £Yes (50% of the price of a double is covered by the school)
Double: £Yes Sharing with______
Approximate Per Diem:
1.  How many days are you away on the course/conference: ______
2.  What is the daily rate for the location (see Per Diem list
on the website): €______
3.  What meals are covered by hotel or conference rate?
Deduct 20% if breakfast included hotel rate
Deduct 40% if lunch is included with conference rate
Deduct 40% if dinner is included with conference rate
= Daily Rate due € ______
4.  Multiply number of days x line above à à à à àààààà =
Books/Materials
Other (please indicate)
TOTAL OF ESTIMATED COSTS

Applicant Signature Date

______

Principal’s/Supervisor’s Approval Date

______

Amount Approved ______Budget

Account # ______