Peach County Schools

Title I Professional Learning Justification

This justification form must be completed and attached to the Original Professional Planning Form for every Title I funded Professional Learning Event.ALL questions and statements must be completed for approval.

ALL expenditures made with Title I funds must be tied to the school/district plan and the school must be able to support that the activity will address the needs of the most academically at risk students in the school.

School Name:

Name of Conference/Workshop:

Date(s) of Conference/Workshop:

Justification: In the space below, please answer the following questions or statements. (Required for approval)

  1. Is this conference/workshop a need for the most academically at-risk students in the school based on the school’s needs assess data?

☐ YES☐ NO

  1. Please describe in detail the objective of the conference/workshop?
  1. How will your participation at this conference/workshop meet the needs of the most academically at- risk students in your school?
  1. How will you redeliver the information that was received at the conference/workshop? What documentation/evidence will you provide to support the effectiveness of you implementation?
  1. How will thisconference/workshop address the CLIP, Title I School-wide Plan and/or District Improvement Plan? Reference Plan(s) Indicator/Section/Goal.

By signing this report, I certify to the best of my knowledge and belief that the report is true, complete, and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in the terms and conditions of the Federal award. I am aware that any false, fictitious, or fraudulent information, or the omission of any material fact, may subject me to criminal, civil or administrative penalties for fraud, false statements, false claims or otherwise. (U.S. Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812.

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Employee Name (Print) Principal(Print) Director of Title I (Print)

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Employee Signature Principal Signature Director Signature

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Date Date Date

Revised 8/12/15