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73-58 Approved Professional Development Provider Activity ...

Approved Professional Development Provider Activity SUMMARYD irections: For each Professional Development Activity for which renewal PD Hours are awarded, complete this template (or an electronic format) and keep in your records along with the attendance list. This will be useful for State auditing OF Approved PROVIDERREGION, COUNTY, DISTRICT, TYPE CODENAME OF PROVIDERNAME OF ACTIVITYDATE OF ACTIVITYLOCATION OF the a statement showing the relationship between the content of the PD Activity , specific relevant standard(s), and at leastone of the following criteria established for PD activities: Engages participants over a sustained period of time allowing for analysis, discovery, and application as theyrelate to student learning, social or emotional achievement, or well-being; or Aligns to the licensee s performance (evaluation).

APPROVED PROFESSIONAL DEVELOPMENT PROVIDER ACTIVITY SUMMARY Directions: For each professional development activity for which renewal PD Hours are awarded, complete this template (or an electronic format) and keep in your records along with the attendance list.

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