ࡱ> UWT'` B4bjbj .@g %T ...8fD4 %,"888d<:%<%<%<%<%<%<%&h )><%i]"<%88%%"""^888:%":%""$$8 @B.`v$:%%0%$,G)PG)$G)$<>,")$M<%<%&"^%   $.   .     Name:  FORMTEXT       Present Assignment:  FORMDROPDOWN  Date of Request:  FORMTEXT  DATE 8/5/20098/5/2009 Please check the following statements that apply to your request:  FORMCHECKBOX  Enroll in a University Course (complete Section IV)  FORMCHECKBOX  Attend a Conference/Workshop (attach pertinent information)  FORMCHECKBOX  Create/Teach a Class (attach course description)  FORMCHECKBOX  Direct a Study Group  FORMCHECKBOX  Other (please specify):  FORMTEXT       Please check the following statement that best describes the reason for your request:  FORMCHECKBOX  Initial Educator PDP  FORMCHECKBOX  Professional Educator PDP  FORMCHECKBOX  Master Teacher Certification  FORMCHECKBOX  Graduate Level Study  FORMCHECKBOX  Obtain Additional Teaching / Administrative License  FORMCHECKBOX  Mentoring Training  FORMCHECKBOX  Fulfill a Plan of Improvement  FORMCHECKBOX  Personal Professional Development Goal  FORMCHECKBOX  DPI Certification Please fully describe the activity or course for which you are seeking approval: Describe what you want to do and attach supporting information or course description.  FORMTEXT       What support do you need from the District?  FORMTEXT       How will your participation in this activity directly benefit students and support District initiatives?  FORMTEXT       Application for Advance Approval of Credits: University / College: Public:  FORMDROPDOWN  Private:  FORMDROPDOWN  After Masters: Public:  FORMTEXT       Private:  FORMTEXT       Course Title:  FORMTEXT       Course No.:  FORMTEXT       # of Credits:  FORMTEXT       Semester Enrolled:  FORMDROPDOWN   FORMDROPDOWN  to  FORMDROPDOWN  Current Degree:  FORMDROPDOWN  Check One:  FORMCHECKBOX  This is to certify that the above listed course is a graduate level course offered by a gradu  468BDX|       Ǫࠚzzo_oj|h56hw}CJUh56CJmHnHu h56CJjh56CJUjth]Vmh#CJU h]VmCJjh]VmCJUjh&CJUmHnHujh&CJUjh&CJUh&5CJ\ h&CJ h&CJ h&5\$jh&5CJU\mHnHu$  PX   g    f h^h8^8 & F$a$N33@4   ( ) * g h v w x      , vjh&CJUh&5CJ\jh&CJUmHnHuj4h&CJUjh&CJUjLh&CJUjh&CJUjdh&CJUjh&CJU h&CJjh&CJU h&CJ*, . 0 f h  OP^_`tuSU~x h&CJh&5CJ\jPh&CJUjh&CJUjdh&CJUjh&CJUjxh&CJUjh&CJUjh&CJU h&CJjh&CJUjh&CJU+ OtSTUpn^ & F & F8^8  prnp4HJfhjҿҹҬңңҙҙsңj hUh&CJUj" hUh&CJU hUCJjhUCJUh&5CJ\j h&CJU h&CJj: h&CJU h&CJ h&CJjh&CJUmHnHujh&CJUjh&CJU)46FH " "8^8 & F^ 468BDdfz|~ HJfhjnpҸҫҞґ҇q҇j hUh&CJU hUCJjhUCJUjfh&CJUjh&CJUj|h&CJUjh&CJUjh&CJU h&CJjh&CJUmHnHujh&CJUjh&CJU, "$@BD*******0,2,4,P,R,T,X/Z/v/x/z/00.0ںڭګڥژڥڋxixjh&>*CJU h&>*CJjh&>*CJUjh&CJUjh&CJU h&CJUj,h&CJUh&5CJ\jph&CJUjh&CJU h&CJjhUCJUjhUh&CJU hUCJ%ate level program listed in the DPI s  Approved Programs for Licensing of School Personnel in Wisconsin.  FORMCHECKBOX  This is to certify that the above listed course is a graduate level course, which is part of a graduate program I started prior to the 1993 Fall Semester.  FORMCHECKBOX  Post Master s Degree Spring semester and summer school courses will be reflected on the first October payroll. Fall semester courses will be reflected on the first February payroll and at no other time. It shall be the responsibility of each unit employee to provide the District with certified transcripts from teacher training institutions showing the number of credits earned.  FORMDROPDOWN  Number of credits to be paid at $100.00 each beyond a Bachelor s Degree.  FORMDROPDOWN  Number of credits to be paid at $190.00 each beyond a Master s Degree. Disposition of Request* Teacher Date: Principal Date: Superintendent/Designee Date:  FORMCHECKBOX  Approved  FORMCHECKBOX  Denied *Your advanced request for approval of credits is subject to satisfactory completion of course work. Copies: Business Office / Principal / Applicant     PAGE  PAGE 1 ST. FRANCIS SCHOOL DISTRICT Professional Development Request for Approval Form "**0,2,,,T/V/X/0000000,1.1d1f1111$^a$ ^`$d N ^^ p0^p`0.0002000 11$1,1D1N1\1b1111111111111 222"2N3P3T3V3Z3\3`3b3f3h3t3v3x3|3~333333ɿ߲߿ߥɝzhs0JmHnHuh& h&0Jjh&0JUhw}jhw}Ujh&CJUjbh&CJUjh&CJU h&CJ h&>*CJh&5CJ\ h&CJjh&>*CJUjxh&>*CJU01 2"222N3R3T3X3Z3^3`3d3f3x3z3|3333333484 $-DM a$&`#$^$^a$33333484@4B4 h&CJ h&5\h&5CJ\hw}h&84:4<4>4@4B4$^a$ -DM ,1h/ =!"#$% tDText1Df Dropdown1St. Francis High SchoolDeer Creek IntermediateWillow Glen PrimarytDText2tDeCheck1tDeCheck2tDeCheck3tDeCheck4tDeCheck5tDText3tDeCheck6tDeCheck7tDeCheck8tDeCheck9vDeCheck10vDeCheck11vDeCheck12vDeCheck13vDeCheck26tDText4tDText6tDText7Df Dropdown6Select from List UW-Eau Claire UW-Green Bay UW-La Crosse UW-Madison UW-Milwaukee UW-Oshkosh UW-ParksideUW-PlattevilleUW-River FallsUW-Stevens PointUW-Stout UW-Superior UW-WhitewaterDf Dropdown7Select from ListAlverno College, MilwaukeeBeloit College, Beloit&Cardinal Stritch University, MilwaukeeCarroll College, WaukeshaCarthage College, KenoshaConcordia University, MequonEdgewood College, MadisonLakeland College, SheboyganLawrence University, Appleton*Maranatha Baptist Bible College, WatertownMarian College, Fond du LacMarquette University, MilwaukeeMount Mary College, MilwaukeeNorthland College, AshlandRipon College, RiponSt. Norbert College, DePereSilver Lake College, ManitowocViterbo University, LaCrosse%Wisconsin Lutheran College, MilwaukeevDText14vDText15vDText10tDText9vDText13Df Dropdown5FallSpringSummerDf Dropdown220092010201120122013Df Dropdown320092010201120122013Df Dropdown4 Bachelor'sMaster's DoctoratevDeCheck20vDeCheck21vDeCheck27Df Dropdown801234567891011121314151617181920Df Dropdown901234567891011121314151617181920vDeCheck25vDeCheck22@@@ NormalCJ_HaJmH sH tH R@R Heading 1$$-D@&M a$5\DA@D Default Paragraph FontViV  Table Normal :V 44 la (k(No List DC@D Body Text Indent ^4 @4 Footer  !.)@. 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