Jefferson County Educational Service Center Consortium

Local Professional Development Committee

Individual Professional Development Plan

Basic Information

Treasurers/Business Managers

Please complete the following (Typing preferred):

Name Date

District

Home Address

Phone Numbers – Home: Office:

E-Mail

Current Assignment

District Position #of Years

Previous Assignment (Most Recent Only)

District Position #of Years

Total # of Years Experience

License 1 License 2 License 3

v Current License Identification Number

v Effective Date New License Begins

Please Note: This completed and signed 5-page IPDP (Form #1 & Form #2) must be submitted to your district superintendent’s office at the same time you submit your renewal packet.