√ One activity form is required for each activity - do not try to put more than one activity on a form.
√ Form must be filled out with ALL LINES COMPLETED. Partial forms just raise questions and get returned - please take the time to complete the form initially.
√ School/Town is the school you work at.
√ Signatures Required:
- Your signature
- Your school administrator
- Professional Development School Representative Signature
√ Documentation Required
- Signed Certificate of completion for activities; College Transcript/Grade Report for credit courses. Submission of an activity form does not provide financial reimbursement - that is a separate procedure. Send a copy of your grade report showing a grade of B or higher and proof of payment, along with a request for reimbursement to Paul Flynn at Central SAU Office, 24 Front Street, Exeter.
√ Certifications specified
- If you have multiple certifications, please specify which one you would like to apply these hours or credits toward.
√ Hours OR Credits
- submit hours as hours & credits as credits - central office will accumulate hours and record credits upon submittal. Submit hours for activities with an attached Certificate of Completion from the Workshop or Activity. Submit credits for activities with an attached Transcript/Grade report from the college or university.
- hours/credits applied to Knowledge of Field/Subject (#1 - area of certification) and Component areas (#2-7) must TOTAL the hours/credits you submit. Please CHECK TOTALS!
√ Submit Increment Hours if applicable - click here for more information on increment.
√ Circle the Type of Activity in the box on the right.
√ Keep a copy of form with all signatures for your files.
Submit the completed form to your Professional Development Representative.
Review the SAU 16 Professional Development Plan if you need more information about the role of Prof. Dev. Activities.