STEM, Arts, and IT



2019-2020 Professional Development ActivitiesSTEM, Arts, and ITNameContent AreaSchool/ InstitutionHome Address, City, State, Zip CodeEmail AddressSchool Address, City, State, Zip CodeHome PhoneNumber of Credits Requested (Maximum 5 Credits)Important Information:Activities to be completed July 1, 2019 – June 30, 2020Due Date is July 15, 20201 credit = 15 hours of professional developmentOnly whole credits may earnedYou may earn up to a total of 5 creditsSend this form and documentation to:Chris JuarezCCCS9101 E. Lowry BlvdDenver, CO 80230-6011chris.juarez@cccs.eduSTEM, Arts, and IT ActivitiesXDates of AttendanceActivityNumber of CreditsDocumentation NeededCommentsVerification2019-2020 SAI Content Team1.0A signed letter from the SAI Program Director stating the participants’ involvement2019-2020 CACTE SAI Board1.0Summary of your contribution to the board2019 CACTE Conference1.0Proof of attendance and lesson plan developed from material learned at conference2019 CTSO Leadership Kickoff0.5Evidence of attendance at event and summary of activities2019 TSA Fall Leadership Conference0.5Evidence of attendance at event and summary of activities2019-2020 CTEA Board1.0Summary of your contribution to the board2019 CTEA Conference1.0Proof of attendance and lesson plan developed from material learned at conference2019-2020 ACTE Board1.0Summary of your contribution to the board2019 ACTE Conference2.0Proof of attendance and lesson plan developed from material learned at conference2019-2020 TSA Advisory Board1.0Summary of your contribution to the board2019-2020 TSA Competitive Events Committee1.0Summary of your contribution to the committee2019-2020 TSA Advisor Mentor0.5Summary of how you assisted and supported your assigned mentee2020 TSA State Conference1.0Evidence of attendance at event and summary of activities2020 TSA State Conference Event Coordinator0.5Completion of the Event Coordinator Feedback Form2020 TSA State Conference Judge0.5Summary of event judged, evaluation of quality of projects and how to improve them2019-2020 ITEEA Board1.0Summary of your contribution to the board2020 ITEEA Conference1.0Proof of attendance and lesson plan developed from material learned at conference2019-2020 Region V Board1.0Summary of your contribution to the board2019-2020 Region V Conference2.0Proof of attendance and lesson plan developed from material learned at conference2020 TSA National Conference1.0Evidence of attendance at event and summary of activitiesOther: Must be approved by the Program Director before submitting this checklistVariesNote: This could be conference presentations, attending local CTSO conferences, attending various forms of professional development, etc. ................
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