Teacher Submission: Advisory List of PD approval

This application is only for teachers who participated in an approved professional development course independent from a district offered course. If the professional development from the advisory list was offered through a district, please stop here and contact district leadership to request a certificate of completion. By selecting yes below, I verify that the course I am submitting was not offered through a district.

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This email will be used as a primary contact.

This email will be used as an alternate contact if needed.

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Please provide school's official name.

Select all grade levels that you currently teach.

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Select all instructional roles that apply.

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Professional Development Title*

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Please provide vendor/publisher name.

Upload copies of the following: End of Course Certificate (named: lastname_EOC) Any Certificates provided by vendor (named: lastname_certificate1, lastname_certificate2, etc.) Evidence of Passing the End of Course Assessment (named: lastname_EOC_Assessment)

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By selecting below, I verify that I have attached all required documentation listed above.

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