ࡱ> ac`` Dbjbjss W Kdddd   X4.bSx\'>-@-@-@-@-@-@-$0hi2d-idX1"SXXd-7-Xd8d>-X>-N+|Ld~, P*_ +>--0.+ 3D| 3$~, 3d~, Sd-d-^.XXXXD   PROFESSIONAL DEVELOPMENT LEAVE REQUEST: 2006-2007 A. Employee Information Name:  FORMTEXT       Building:  FORMTEXT       Employee ID #:  FORMTEXT       Position:  FORMTEXT       B. Professional Development Activity Title of Professional Development Activity:  FORMTEXT       Location:  FORMTEXT       Date(s) of PD Activity:  FORMTEXT       Identify the Iowa Teaching Standard(s) that is/are supported by this professional development activity.  FORMCHECKBOX 1: Implementation of Achievement Goals  FORMCHECKBOX 2: Content Knowledge  FORMCHECKBOX 3: Lesson Planning  FORMCHECKBOX 4: Instructional Strategies  FORMCHECKBOX 5: Assessment of Learning  FORMCHECKBOX 6: Classroom Management  FORMCHECKBOX 7: Professional Growth  FORMCHECKBOX 8: Professional Responsibilities & Ethics C. Personnel Leave Details Date(s) of Employee Absence for this PD activity:  FORMTEXT       Employee will be absent &  FORMCHECKBOX All day  FORMCHECKBOX AM only  FORMCHECKBOX PM only SUB INFORMATION: Is a sub needed for this leave?  FORMCHECKBOX Yes  FORMCHECKBOX No If yes, how will sub need be filled?  FORMCHECKBOX  district sub list  FORMCHECKBOX  off-list sub  FORMCHECKBOX  in-house sub ALL leaves need to be called into the sub system, even if no sub is required. AFTER leave is approved at the district level, employee is responsible for calling to secure a sub. D. Approval of Leave from Immediate Supervisor I  FORMCHECKBOX approve  FORMCHECKBOX do not approve this leave request. Signature of Supervisor (principal/director): _________________________________ Date: __________ E. Expenses Registration $ FORMTEXT       How will registration be paid?  FORMCHECKBOX PO  FORMCHECKBOX employee  FORMCHECKBOX NA Please attach registration sheet to this leave request. Travel $ FORMTEXT       $.41/mile; $175/day maximum Lodging $ FORMTEXT       $60/day maximum Food $ FORMTEXT       $25/day maximum F. Funding Source for All Expenses (including substitute costs)  FORMCHECKBOX  SELF-DIRECTED: Available only to teachers& only once every other year; requires approval of Director of Pbdf|    Ƿ{aIa:h$NhuCJOJQJaJ.jth$Nh5CJOJQJUaJ3jh$Nh5CJOJQJUaJmHnHu.jh$Nh5CJOJQJUaJ(jh$Nh5CJOJQJUaJh$NhCJOJQJaJh$Nh5CJOJQJaJh$Nh:5CJOJQJaJhOJQJhF^4ht5CJ OJQJaJ hF^4h5CJ OJQJaJ df X  = a ]^gd;  ,]^gd;  ]^gd;  ,]gd;  ,]^gd;  ]^gd; ]gd; gd$a$gdDDD & ( < > @ J L N b d x z | ̴ܚvfNv4vf3jh$Nh5CJOJQJUaJmHnHu.j\h$NhTl\5CJOJQJUaJh$Nh5CJOJQJaJ(jh$Nh5CJOJQJUaJh$NhCJOJQJaJ3jh$Nh:5CJOJQJUaJmHnHu.jh$Nh:5CJOJQJUaJh$Nh:5CJOJQJaJ(jh$Nh:5CJOJQJUaJh$Nh:CJOJQJaJ 0 2 F H J T V X l n ²€²q\L4\.jDh$NhJ5CJOJQJUaJh$NhJ5CJOJQJaJ(jh$NhJ5CJOJQJUaJh$NhJCJOJQJaJ3jh$Nhu5CJOJQJUaJmHnHu.jh$Nhu5CJOJQJUaJh$Nhu5CJOJQJaJ(jh$Nhu5CJOJQJUaJh$NhuCJOJQJaJh$Nh5CJOJQJaJh5OJQJ R d   & ueYCeYeY+j,hJhCJOJQJUaJhJCJOJQJaJjhJCJOJQJUaJhuCJOJQJaJh:OJQJhuOJQJhJOJQJ.jh$NhJ5CJOJQJUaJh$NhJCJOJQJaJh$NhJ5CJOJQJaJ(jh$NhJ5CJOJQJUaJ3jh$NhJ5CJOJQJUaJmHnHu& ' ( = > L M N a b p q r  ͷ͋͡u_+jhJhCJOJQJUaJ+jzhJhCJOJQJUaJ+jhJhCJOJQJUaJ+jhJhCJOJQJUaJ+jhJhCJOJQJUaJhJCJOJQJaJjhJCJOJQJUaJ+jhJhCJOJQJUaJ F G H d Vp & F X ]gd;  hx4]^gd;  p!]^gd;   x]^gd;  ,]gd;  ,]^gd; ]^`gd; ]^gd;    D E F H [ c d   zeMe3e3jh$Nh:5CJOJQJUaJmHnHu.jh$NhTl\5CJOJQJUaJ(jh$Nh:5CJOJQJUaJh$Nh:CJOJQJaJh$Nhd*5CJOJQJaJh$Nh:5CJOJQJaJhu5OJQJhuhuCJOJQJaJhuCJOJQJaJhJCJOJQJaJjhJCJOJQJUaJ+jfhJhCJOJQJUaJ BD`bdtv<>Z\^fh䔅saUh$Nhd*6OJQJ#j" h$NhTl\OJQJU#jh$NhTl\OJQJUjh$Nhd*OJQJUh$Nhd*OJQJ#j:h$NhTl\OJQJU#jh$NhTl\OJQJU#jRh$NhTl\OJQJUjh$Nh:OJQJUh$Nh:OJQJh$NhncG5CJOJQJaJ !"#45CDEPQTV ӯӠucSCShhJ6CJOJQJaJhhO56CJOJQJaJ"hhO56>*CJOJQJaJhhd*6CJOJQJaJhhi6CJOJQJaJhfvhd*OJQJh$Nhd*CJOJQJaJ#j~ h$NhTl\OJQJU#j h$NhTl\OJQJUh$Nhd*OJQJjh$Nhd*OJQJU#j h$NhTl\OJQJU  :6s\ \ 4]^gd;  T\ 4]^gd;  x<]gd;  x<]^gd;  x]^gd;  xdh]^gd;  X ]gd;  & F X ]gd;  :=>LMNUVWefgu ݼΰݞΰݒzqhzqz\Mhq hfvCJOJQJaJhfvCJOJQJaJh1eW5OJQJhfv5OJQJhfvh$N5OJQJhfvhF^45OJQJhfvhSsr5OJQJ#jf h$NhTl\OJQJUh$NhSsr5OJQJ#j h$NhTl\OJQJUjh$NhSsrOJQJUh$NhSsrOJQJh$NhSsr5CJOJQJaJhSsrOJQJ $&(246rtvʲژʍrcMrcrc7rcr+j hq hCJOJQJUaJ+jR hq hCJOJQJUaJhq hq CJOJQJaJ%jhq hq CJOJQJUaJhq OJQJhfvhfvOJQJ3jhq hfv5CJOJQJUaJmHnHu.j hq h5CJOJQJUaJhq hfv5CJOJQJaJ(jhq hfv5CJOJQJUaJhq hq 5CJOJQJaJfhvxz񼬠l\Dl*l3jhq hfv5CJOJQJUaJmHnHu.j hq h5CJOJQJUaJhq hfv5CJOJQJaJ(jhq hfv5CJOJQJUaJhq hq 5CJOJQJaJhfvhfvCJOJQJaJhq hq 6OJQJhq hq 6CJOJQJaJhfvCJOJQJaJ%jhq hq CJOJQJUaJ+j> hq hCJOJQJUaJhq hq CJOJQJaJ6h2 ":xc p]^`gd;  T@ P]gd;  T@ P]^gd;  T\ 4]gd;  $ 4L]^Lgd;   \ 4]^gd;  @ s4]^gd; 02<>@TVXbdfiQiAhfvhfv6CJOJQJaJ.jhq h5CJOJQJUaJ3jhq hfv5CJOJQJUaJmHnHu.j*hq h5CJOJQJUaJhq hfv5CJOJQJaJ(jhq hfv5CJOJQJUaJhq hq 5CJOJQJaJhfvhfvCJOJQJaJhfvhfv6CJOJQJaJhq hfv6CJOJQJaJ  (*,H: :":$:@:ȸ{l`QlQEQ`lCElUhncGCJOJQJaJhncGhO5CJOJQJaJh1eWCJOJQJaJhncGhCJOJQJaJ.jhncGhTl\5CJOJQJUaJhncGh5CJOJQJaJ(jhncGh5CJOJQJUaJh$Nha 5CJOJQJaJh$Nh5CJOJQJaJh$Nhne5CJOJQJaJha CJOJQJaJhfvCJOJQJaJrof. Development  FORMCHECKBOX  DISTRICT-DIRECTED: Paid by the district through district PD funds; requires approval of Director of Prof. Development  FORMCHECKBOX  GRANT-FUNDED: Paid by grant funds; requires approval of the grant manager  FORMCHECKBOX  DEPARTMENT-FUNDED: Paid by department specified; requires approval of department leader responsible for funds  FORMCHECKBOX  OTHER: please specify&  FORMTEXT       Name of Department or Grant (if department or grant funded):  FORMTEXT       BUDGET CODE:  FORMTEXT       A budget code is required for ALL professional development leave requests. A budget code for self-directed or district-directed leave will be added at the district-level when this leave request is approved. Signature for Approval of Funds from Budget Identified: ______________________________________  G. 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