Chisago Lakes Middle School Professional Development Request Form

This request form must be completed for a proposed conference you wish to attend, at least 30 days prior to the event. The completed form must be turned into the CLMS Building Leadership/School Improvement Committee for review/approval. Forms will then be submitted to the principal for final approval. Please see the reverse side for directions on completing the form and goals.

Name:______Current Date:______

Department:______Grade(s):______Goal(s):______

Event requesting to attend:______

Rationale for attending the event and relation to goal:______

______

Location of Conference:______

Date of Conference:______Deadline to Register:______

Indicate the Term the event is occurring Term 1 Term 2 Term 3 Term 4 Summer

Follow-up Plan:______

______

Estimated Expenses and Party Responsible Description PD Funds Outside Personal Total (Grant Funded) registration substitute teacher* transportation mileage ($0.56/mile) lodging other expenses Total Expenses *substitute teacher costs: $130.00 for a full day, $32.50 for hourly coverage

______approved ______disapproved ______Building Leadership Chairperson Signature Date

______approved ______disapproved ______Principal Signature Date Professional Development Funds Allocation Form Directions

Prior to Event

1. Complete the Professional Development Funds Request Form a. Indicate which goal(s) the event fits under. Chisago Lakes Middle School Site Goals S1. Chisago Lakes Middle School students in grades 6-8 will improve achievement in reading and math. S2. Chisago Lakes Middle School staff will continue to explore best grading practices that will reflect student academic achievement, based on established standards and learning outcomes. S3. Chisago Lakes Middle School staff will develop/refine skills in the utilization of technology within the classroom to improve instruction and student learning. S4. Chisago Lakes Middle School Staff will create/refine an advisement program that builds meaningful connections between adults and students, resulting in improved building climate and increased student academic and behavioral achievement. ISD 2144 Goals D1. Provide relevant professional learning to increase educator expertise that results in greater student achievement in all academic areas as measured by state and local assessment tools D2. Provide relevant professional learning through the use of a variety of sources and types of student, educator and system data to plan, assess, and evaluate learning, make instructional decisions and evaluate resource allocation D3. Provide relevant professional learning to increase staff effectiveness and integration of digital resources (technology) in professional practice D4. Provide and support relevant professional learning opportunities for collaboration in using best practices to increase educators’ effectiveness Minnesota Legislative Goals M1. Improve student achievement of state and local education standards in all areas of the curriculum by using best practice methods. M2. Effectively meet the needs of a diverse student population, including at-risk children, children with disabilities, and gifted children, within the regular classroom and other settings. M3. Provide an inclusive curriculum for a racially, ethnically, and culturally diverse student population that is consistent with the state education diversity rule and the district’s diversity plan. M4. Improve staff collaboration and develop mentoring and peer coaching programs for teachers new to the school or district. M5. Effectively teach and model violence prevention policy and curriculum that address early intervention alternatives, issues of harassment, and teach nonviolent alternatives for conflict resolution. M6. Provide teachers and other members of site-based management teams with appropriate management and financial management skills. b. Provide a statement of your rationale for attending the event; what you hope to gain by attending. Do not write “see attached form.” c. Indicate which term the event is occurring. d. Describe, specifically, how you will share the information you gain with the CLMS staff. e. List all the expenses you plan to incur by attending the event. f. Submit the request to the Site Council at least 30 days prior to the event.

2. Attach the flyer and completed registration form that explains the event you wish to attend.

3. Attach a completed Claim and Verification form for the cost of the event.

4. If request is approved, enter your absence into Aesop.

After the Event

1. Fill out mileage form, if applicable, and submit to principal.

2. Complete Professional Response Form and submit to Building Leadership/Site Improvement Team.

3. Share knowledge from event with colleagues through a grade level meeting, faculty meeting, PLC meeting, or mini-session.