Staff Development Requests

This electronic form will be automatically submitted to the appropriate Site Base Team for review.

Site Location * Required
Please select one of the following:
Name
First Last
Date - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY
Job Title * Required
Please select your job title:
Email
Type of Activity * Required
Please select all that apply:
- Select All
- Workshop/Conference
- Learning Community/Collaboration
- Speaker/Presentation
- Other
Title of Event * Required
Please enter the name of the event:
Event Website - enter a valid website URL for example https://www.google.com
*If applicable.
Brochure/Photos
*If available, upload a .pdf or photo of event details.
Drop files here or
Event Address
Please enter the address of the staff development event you would like to attend:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Event Start Date - must be mm/dd/yyyy format * Required
Please select the start date of the staff development event you are attending:
Date Format: MM slash DD slash YYYY
Event End Date - must be mm/dd/yyyy format * Required
Please select the end date of the staff development event you are attending:
Date Format: MM slash DD slash YYYY
SCHOOL IMPROVEMENT GOAL
Select the SCHOOL IMPROVEMENT GOAL that best reflects the intent of the staff development event:
- 1. To address the needs of students in the area of reading with special emphasis in the areas of fluency, vocabulary and word recognition.
- 2. To address the needs of students in all academic areas concerning differentiated instruction.(All tiers and gifted)
- 3. Behavior: To support Olweus Bullying Prevention Program initiative.
- 4. Increase Student Achievement in all areas.
- 5. To increase the use of data to make instructional decisions.
DISTRICT STAFF DEVELOPMENT SCHOOL IMPROVEMENT GOALS
Provide relevant professional learning:
- 1. Each school will meet or exceed state or national standards – By increasing educator expertise that results in greater student achievement in all academic areas as measured by state and local assessment tools
- 2. To explore school year alternatives – By examining current instructional decisions.
- 3. To continue to explore educational technology initiatives - By increasing staff effectiveness and integration of digital resources (technology) in professional practice.
- 4. To explore alternative pay programs with staff development components - by working in collaboration in using best practices to increase educators effectiveness
STAFF DEVELOPMENT GOAL (select only one) * Required
*Which best reflects the intent of the staff development activity:
- 1. improve student achievement of state and local education standards in all areas of the curriculum by using best practices methods;
- 2. effectively meet the needs of a diverse student population, such as; at-risk children, children with disabilities, and gifted children, within the regular classroom and other settings;
- 3. provide an inclusive curriculum for a racially, ethnically, and culturally diverse student population that is consistent with the state education diversity rule and the district's education diversity plan;
- 4. improve staff ability to collaborate and consult with one another and to resolve conflicts collaboration and develop mentoring and peer coaching programs for teachers new to the school or district;
- 5. effectively teach and model violence prevention policy and curriculum that address early intervention alternatives, issues of harassment, and teach nonviolent alternatives for conflict resolution; and
- 6. provide teachers and other members of site-based management teams with appropriate management and financial management skills
How & When * Required
Describe HOW and WHEN you will use this activity to support the School Improvement Goals previously identified. Examples can include creating an action plan such as a curriculum integration plan to share with other school employees or use the train the trainer model providing an in-service to other interested school employees.
Hourly Time Sheet * Required
*Consult with the CBO.
Hourly Time Sheet (Substitute Teacher) * Required
*Consult with the CBO *$147.00/Day
Price: $0.00
Price * Required
*Number of participants x the rate.
Presenter/Consultant Costs
*If applicable.
Price
*Requester must also request the use of a school vehicle with the Transportation Director. **If no vehicle is available, you must use www.mapquest.com to calculate your mileage at $0.58/mile.
Other Prices/Costs
Please list any other costs not listed.
Name
This field is for validation purposes and should be left unchanged.