Middleton-Cross Plains Area School District


Professional Development Online Forms

 

MCPASD 2011-2012 Professional Development Hours
Year End Tally Sheet

Name:
Email:
Home School:
FTE & Employee ID #
Professional Activity 1
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 2
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 3
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 4
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 5
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 6
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 7
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
Professional Activity 8
Name of Activity:
Location of Activity:
Date(s) of Activity:
Day(s) of Activity:
(SU, M, T, W, TH, F, SA)
Time of Activity:
Total Non-Contact Hours for Activity:
By signing this form, I attest that I attended all of the above activities outside of my contract day and that I did not receive graduate credits for these courses which I intend to keep as credits to use for horizontal advancement.
Signature: (type name)

Submit this form and supporting documents by JUNE 1, 2011.
This is a suggested return date, so you don't forget!

By clicking the link below, this form will be submitted electronically to Nancy Wyngaard at the DAC.

If the activity was not held through MCPASD, please send copies of verifying documents to:
Nancy Wyngaard, Director of Professional Development at the DAC.





close this window

© copyright Middleton-Cross Plains Area School District | Legal Info
7106 South Avenue | Middleton, WI  53562 | Phone 608-829-9000 | Fax 608-836-1536 | Email Webmaster