Forms

The Professional Development Department routinely uses several forms to record attendance at professional development activities, to allow teachers to access the web in obtaining their professional development history, and to document teachers' attendance at an out-of-district conference and/or meeting. This page lists those forms for your easy convenience and use.

The forms are as follows with a brief description of each:

2018 - 2019 Designated PD Days
This handout identifies the district's 10 required PD days and when they are.

LRSD Sign-in Sheet Form
This REVISED form is used to verify the attendance of employees at a professional development activity held in the district and in some instances out-of-district. Employees are to acquire and use a PD PIN number for easy identification and tracking of acquired professional development hours. This form must be accompanied with an agenda from the workshop/training session.

Out of District Form
2) The Out-of-District Form is used to report in-service activities that are non-LRSD. The form should be accompanied with the appropriate documentation supporting the registrant's attendance at the event and should have the supervisor's signature as well. The form should be submitted within ten (10) days after the session has occurred.

Salary Credit Consideration Form
3) This NEW form is used when one desires for professional development hours to be counted as salary credit. Individuals are asked to complete the form and submit it to the Professional Development Department within 30 days of the intended workshop.

Act 1309 Form of 2009 (Pre-School PD Form)
Act 1309 of 2009 (formerly Act 1185 of 2005) allows teachers to earn up to 12 hours of professional development hours prior to the first day of student contact at the beginning of each school year. The hours must be related to an approved activity related to curricular and instructional planning.

Request Form for 15 Hours of College Coursework Credit Toward PD
7) This revised form is used when a teacher or administrator wants to use approved college coursework for professional development hours. The form must be completed and forwarded to the Professional Development Department.

Directions for Creating a PIN Number for PD
 Please call Anita Spears 447-1055 to set-up your PIN number.