Appendix F

                                                                                            Rev. 04/18/07

Jefferson County ESC Consortium LPDC

 

VERIFICATION

for

THE RENEWAL PROCESS

and/or

THE INDIVIDUAL PROFESSIONAL DEVELOPMENT PLAN (²)

 

TO:                                                                                                                                                      

Name of Applicant                               District                                                   Building

 

                                                                                                                                                           

Home Address                                                                     City/Town                                                    State     Zip Code

 

On                                                        ,the LPDC

                        (date)

 

o Reviewed your transcripts and/or CEU certificates, reviewed your renewal/transition application, and verified the information stated was correct.  Appropriate forms were sent to ODE for processing.

o Reviewed and approved your Individual Professional Development Plan (IPDP).  This approved plan should provide a framework for selection of all professional growth experiences as you proceed with the process of fulfilling Professional Development (PD) requirements for your next renewal in                                       .

o (²)Accepted and endorsed your previously approved IPDP from                                                                     .

                                                                                                                                                                (District)

Please be aware of the following important guidelines:

·         Revisions to your approved IPDP are sometimes necessary and/or appropriate.  Should you change your approved IPDP, submit a revised IPDP to the subcommittee for approval prior to beginning any coursework or CEU activity not addressed in your current IPDP.

·         Equivalent Other Activities (EOA Options) preceded by an asterisk * in the Individual Professional Development Options must be approved by the LPDC prior to your beginning the activity.

·         Written reflections summarizing the value of your professional development experiences must be submitted with each CEU and EOA activity.

·         Work in at least three Domains/Goals must be evident when teachers submit the summary of completed PD work for the next renewal.  (For administrators – 4 ISLLC Competencies; for treasurers – 4 areas of Concentration).  We suggest equal distribution of the 6 hours and/or 18 CEUs across the three Domains/Goals, or four Competences, or four Concentrations.

·         The renewal process can be initiated any time after January 1st (June 1st for treasurers) of the year your certificate/license expires if your hours/CEUs requirements are completed.

·         If you make no revisions to your approved IPDP, your next scheduled responsibility to the LPDC will be completing the renewal process for this or other license(s).

Enclosed in this packet:

                                                                Transcripts and/or CEU certificates submitted with the license application

                                                                Expired IPDP

                                                                Newly approved IPDP

                                                                Blank copy of Summary of PD Activities

                                                                Copy of Individual Professional Development Options (Form 3)

                                                                Credit hour/CEU Conversion Chart

 

The Jefferson County Educational Service Center Local Professional Development Subcommittee:

 

oEarly Childhood (PK-2)                                   oElementary (3-5)                                               oMiddle School (6-8)

oHigh School (9-12)                                           oInstructional Specialists (K-12)                     oAdministrative/Supervisory

 

                                                                                                                                                           

                                                            Subcommittee Facilitator

Address:  2023 Sunset Boulevard

Steubenville OH 43952

Phone:  740-283-3347                                                                    (pat)lpdc2006/status report for verification of renewal process 02 15 06