Please Submit Two Copies of This Form, One Will Be Returned Following Approval

Lakota Local Schools

Please submit two copies of this form, one will be returned following approval.

Name: / IPDP Approval Date:
Teaching/Work Assignment:
Date(s) of Professional Development:
Location of Professional Development:
Title of Professional Development: (Specify)
Description of PD
IPDP Goal(s) applicable to this PD.
Number of contact hours / Number of semester hours

Signature of applicant ______Date______


¨  Revise/Resubmit

Revision Advice:

¨ Approved as written

Approval Signature______Date______

Evaluation of Professional Development

Directions: Complete the sections that apply to this professional development, make a copy of this form and submit both original form and the copy to the LPDC.

I.  Alignment to Ohio Professional Development Standards.

¨ Standard 1: Teachers understand student learning and development and respect the diversity of the students they teach. How do you understand your students and expect all students to achieve?
¨ Standard 2: Teachers know and understand the content area for which they have instructional responsibility. How do you have a deep understanding of the content you teach?
¨ Standard 3: Teachers understand and use varied assessments to inform instruction, evaluate and ensure student learning. How do you understand and effectively use varied assessments?
¨ Standard 4: Teachers plan and deliver effective instruction that advances the learning of each individual student. How do you plan and deliver instruction that advances the learning of every student?
¨ Standard 5: Teachers create learning environments that promote high levels of learning and achievement for all students. How have you created a learning environment that promotes learning and high achievement?
¨ Standard 6: Teachers collaborate and communicate with other educators, administrators, parents and the community to support student learning. How do you collaborate and communicate with colleagues, administrators, parents and the community?

II. Identify and attach documentation to evidence completion of the PD experience.