Teacher Submission: Advisory List of PD approval

Application Verification

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.

Date submitted

mm/dd/yyyy

Full Legal Name

Provide legal name as written on a state drivers license.

District/School email address

This email will be used as a primary contact.

Alternative email address

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

Phone Number

District Name

Select from list.

School Name

Please provide school's official name.

Grade Level(s)

Select all grade levels that you currently teach.

Role

Select all instructional roles that apply.

Professional Development Title

Select from list.

Consortium on Reaching Excellence in Education (CORE) Elementary Reading Academy + Language Conventions & Writing Fundamentals

Consortium on Reaching Excellence in Education (CORE) Online Elementary Reading Academy + Language Conventions & Writing Fundamentals

Keys to Beginning Reading-(face-to-face training)

LETRS Language Essentials for Teachers of Reading and Spelling 3rd Edition, Units 1-8

Strive- Evidence-Based Teacher Training Course

The Reading Teacher's Top Ten Tools: Instruction That Makes a Difference

Vendor/Publisher

Please provide vendor/publisher name.

Documentation that demonstrates you have met the minimum statute requirements.

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)

Drop your files here

Verification of all Documentation Attached

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

Send me a copy of my responses

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