Fill In Form Sheet

Fill In Form Sheet

My Learning Plan - Fill-In Forms Available on My Learning Plan

PM Request Form

Use this form to submit a request for prior approval to attend a workshop not listed on the district catalog or the Nassau BOCES catalog. This form is not to be used for approval to attend a conference or school business activity.

Collegial Circle for Professional Development Hours

Use this form to submit a request for prior approval for a collegial circle. This is only for professional development hours and must be a minimum of four hours. When your collegial circle is complete, fill out the Collegial Circle Final Report and click on submit. Each member of the circle must complete the request form and final report on My Learning Plan to receive final credit.

Note: Collegial circles offered through the Teacher Center are available for in-service credit only.

Conference Form C

Use this form for PRIOR approval to attend a conference/school business activity. All itemized receipts should be submitted to your building secretary or the Office of Curriculum and Instruction. Once you have attended the conference, fill out the Concluding Report on My Learning Plan and submit. No reimbursements will be made until the report is received.

In-Service Course Form

Use this form to receive PRIOR approval for in-service courses. Send back-up information on the course you wish to receive approval for to the Office of Curriculum and Instruction. In order to receive in-service credit, submit proof of attendance to Lorraine Roth in Personnel.

175 Hour Log Form

This form is to be used ONLY by teachers who have professional certification - not initial, provisional or permanent.Holders of the professional certificate must complete 175 hours of professional development every 5 years. Final decision of appropriateness of activities as to the fulfillment of this requirement will be decided by the school district.

Teaching Assistant Log Form

This form is to be used ONLY by teaching assistants who have a Level III teaching assistant certificate. Holders of the Level III certificate must complete 75 hours of professional development every 5 years. Final decision of appropriateness of activities as to the fulfillment of this requirement will be decided by the school district.

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