Office of the Superintendent for Public Instruction
Office of the Superintendent for Public Instruction
Professional Education and Certification
Old Capitol Building, FG-11, Olympia WA 98504-3211
360-725-6400
CONTINUING EDUCATION AND VOCATIONAL CLOCK HOURS
PRIOR NOTICE
Approved continuing education providers must submit this form and required information 30 days in advance of any offering (10 days if a previously approved program is to be offered at a different location) to: Professional Education and Certification, Superintendent of Public Instruction, Old Capitol Building, FG-11, Olympia, WA 98504-3211 -OR- Approved provider: Auburn School District, 915 Fourth Street NE, Auburn, WA 98002.
SCHOOL/LOCATION:
Type of Plan (Please circle one): PDM LID Other
|1. SPONSORING PROVIDER NAME* |2. SPONSORING PROVIDER ADDRESS |
| | |
|Auburn School District |James P. Fugate Administration Bldg. |
| |915 Fourth Street Northeast |
| |Auburn, WA 98002 |
|3. TITLE OF OFFERING: |
|4. DAYS OF OFFERING |5. TIME OF OFFERING |6. NUMBER OF CONTINUING |
| | |CLOCK HOURS |
|7. NAME OF INSTRUCTOR(S) |8. WRITTEN OBJECTIVES ATTACHED |
| | |
| |( YES ( NO |
|9. QUALIFICATIONS OF INSTRUCTOR ATTACHED |REQUESTING APPROVAL FOR VOCATIONAL |
| |CLOCK HOURS |
|( YES ( NO |( YES ( NO |
|Does thIS COURSE MEET the requirments for STEM Clock Hours? ( YES ( NO |
| |
|In order to meet this requirement the offering must do ALL of the following and clearly be shown in the offerings Agenda: |
|Have an impact on STEM experiences for students? |
|Provides examples or resources to use with students or with other educators? |
|Provides examples or resources about STEM-related career choices to use with students? |
|12. EVALUATION FORM** |
| |
|( ATTACHED ( PREVIOUSLY SUBMITTED |
| |
|Must include: |
|extent to which written objectives have been met |
|quality of the physical facilities |
|quality of the oral presentation by each instructor |
|quality of the written materials provided by each instructor |
|13. WILL CANDIDATES HAVE THE OPTION OF USING |14. IF YES, NAME COLLEGE OR UNIVERSITY |
|THIS OFFERING FOR COLLEGE OR UNIVERSITY | |
|CREDIT? | |
| | |
|( YES ( NO | |
*If items 1 through 8 are included on the program agenda, that agenda may be submitted or attached
to this form in lieu of written responses to items 1 through 8.
**If a continuing education provider is using the same evaluation form for all activities, submission
of the evaluation form will only be required for the first program.
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related searches
- ny office of the professions
- nys office of the professions license lookup
- nys office of the professions
- colorado office of the state controller
- office of the professions lookup
- nys education department office of the p
- new york state office of the professions
- office of the professions new york
- office of the state auditor
- office of the professions
- nys office of the professionals
- ny office of the professions license lookup