Massachusetts Department of
Elementary and Secondary Education
75 Pleasant Street, Malden, Massachusetts02148-4906Telephone: (781) 338-3000
TTY: N.E.T. Relay 1-800-439-2370
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Last NameFirst NameMI
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AddressCity/TownState Zip Code Telephone Number
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License Numberor MEPID (Massachusetts Education Personnel ID) or Social Security Number
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School District (at the time of renewal)School
All educators must complete professional development activities and obtain Professional Development Points (PDPs) no more than 5 years from the date of application.
Academic Professional License Renewal Requirements-Professional Development Points (PDPs)
Primary Area: A minimum of 150 PDPs, of which a minimum of 90 points must be in content/pedagogy, with no less than 60 PDPs in or related to the content area; a minimum of 15 PDPs related to Sheltered English Immersion (SEI); or English as a Second Language (ESL); a minimum of 15 PDPs related to training in strategies for effective schooling for students with disabilities and instruction of students with diverse learning styles. The remaining 30 points from the 150 may be in general educational elective(s).
Each Additional Area: (Field or Grade Level) A minimum of 30 PDPs must be in content. To renew an Additional Area that is in an invalid status requires 150 PDPs.
Please indicate the Professional license(s) you have renewedwithin the last 5 years.
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Primary License FieldDate of Renewal
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Additional License(s)Date of Renewal
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Supervisor’s Approval and Final Endorsement of the IPDP
Evaluator’s Approval of the Educator Plan
IPDP:The supervisor’s approval verifies that the educator’s IPDP has been reviewed and approved and the record of professional development activities has been successfully completed within the educator’s five-year renewal cycle. The supervisor’s approval and final endorsement ensures that the reported activities have been consistent with the educator’s approved IPDP.
Educator Plan:The evaluator’s signature verifies approval of the educator’s goals of the Educator Plan. The Educator Plan is “designed to provide educators with feedback for improvement, professional growth, and leadership,” is “aligned to statewide Standards and Indicators in 603 CMR 35.00 and local Performance Standards,” and “is consistent with district and school goals.” (For more information, see 603 CMR 35.06 (3)(d) and 603 CMR 35.06 (3)(f)).
NOTE: You do not need to obtain the signature requested below if you are enclosing a document previously obtained from your supervisor, which confirms approval and/or Final Endorsement.
___Please check here if you are submitting a different version of the supervisor endorsement.
Supervisor’s Final Endorsement
The signature below indicates the supervisor (or supervisor’s designee) has received my record of Professional Development activities and the reported activities are consistent with the approved Professional Development Plan.
Signature of Supervisor / Date:If applicable, please explain (on separate sheet) why you did not obtain approval and signature of your Plan from your supervisor. (see: 603 CMR 44.04 (5).)
Evaluator’s Approval
The Educator Plan is “designed to provide educators with feedback for improvement, professional growth, and leadership,” is “aligned to statewide Standards and Indicators in 603 CMR 35.00 and local Performance Standards,” and “is consistent with district and school goals.” (see:603 CMR 35.06 (3)(d) and 603 CMR 35.06(3)(f).)
Signature of Evaluator / Date:If applicable, please explain (on separate sheet) why you did not obtain approval and signature of your Plan from your supervisor.