General Information
 

Please enter your full first name each time you log your professional development activity.

First Name:  

Last Name:

Ethnicity: Select the option that best describes you race/ethnicity American Indian or Alaska Native Asian American Black or African American Native Hawaiian or Other Pacific Islander White Hispanic or Latino

Highest Education Level: Select the highest degree you have earned High School Diploma or equivalend Associate Degree Bachelors Degree Masters Degree Specialists Degree Doctoral Degree Juris Doctorate Medical Degree Other License, Credential, or Professional Degree

Highly Qualified as defined by No Child Left Behind: Select the appropriate category Not Applicable Obtained Paraprofessional Quality Standard on State Academic Assessment Highly Qualified Paraprofessional Highly Qualified Teacher Not Highly Qualified

District of primary assignment: (To select more than one district, hold the Ctrl key down while you click the districts with your mouse.)
  Big Rapids Public Schools Chippewa Hills School District Crossroads Charter Academy Evart Public Schools MOISD Morley Stanwood Community Schools Reed City Area Public Schools

Position: Please Choose One Administrator Building and Grounds/Maintenance Bus Driver Business Office CTE Paraprofessional CTE Teacher General Education Paraprofessional General Education Teacher Interpreter MOP COOP Personnel Nurse Occupational Therapist Occupational Therapy Assistant Physical Therapist Physical Therapy Assistant Psychologist Secretary Social Worker Special Education Paraprofessional Special Education Teacher Speech Pathologist Teacher Consultant Technology Director Technology Staff Other

Click here if an administrator:

Click here if probationary teacher:

Email Address:      

Event Information

PD Event Title:

PD Event Beginning Date:  Month January February March April May June July August September October November December   Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year 2007 2008

PD Event Ending Date:  Month January February March April May June July August September October November December   Date 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31   Year 2007 2008

Hours of Participation: Select the number of hours 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 6.5 7 7.5 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45

SB-CEU Credits Earned:

SB-CEU Approval Number:

PD Type: Please Select Your Event Type from the list above 1: Linked t o School Improvement Plan 2: (Mentoring) Supporting Induction and Mentoring of Novice Teacher 3: Workshop or Conference (One-day or short term PD) 4: Coursework 5: PD to attain Highly Qualified Status