Tuesday, May 21st, 2013

Items denoted with a red asterisk * are required.
 * Name
 

Please type your name.
 * Email Address
 

Please make sure you type in your full email address.
 * Academic Year
 

Please select the school year
 * I am seeking the following credit:
 




Please check all that apply
 
 
Please indicate the intent of the "out-of-district" training and how it relates to standards, or district/school goals or job-related goals.
 * Date(s)
 

Please indicate the dates of your PD request.
 * Title of PD activity
 
 * Number of Hours
 

Please type in the total number of PD hours.
 * Intent of PD Activity
 

Please indicate the intent of the PD activity and how it relates to standard, district/school goals, or job-related goals.
 
 
Please remember to verify attendance and send verification to the PDA office.