Coweta County School System                                                     Community and Staff Services
Application for Professional Development Stipend                                                   (S-1)    4/98
 
 

     Course #  ___________     SDU's ___________ 
 

     Course Title____________________________  

     ______________________________________  

     Course Dates  (B)____________(E) _________  

     Instructor _____________________________  
 


     Name__________________________________  

     Social Security #   _______________________  

     School  ________________________________  

     Phone   (W) _____________      (H) _________  

     Position    _____________________________  
 

 

1.  Training Agency: __________________________________________________________________
 

2.  Staff Development Classification (check one):
 
 ___Induction     ___Specific Needs     ___General     ___Sp. Ed     ___Remedial      ___Instructional Support
 

3.  Need Being Addressed by Participation in this Course: ______________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________
 
 
IMPORTANT   The purpose of all staff development in the Coweta County School System is to improve instructional competence in order to maximize student achievement.  All applications for staff development credit (SDU's) and stipends must have prior approval of the staff development advisory committee.  Staff development credit (SDU) application forms may be obtained from the school staff development contact or from Pat Nixon in the Community and Staff Services Office at Maggie Brown, 32 Clark Street, Newnan, GA.

I understand that I must complete all of the requirements of the activity as evidenced by a certificate of completion.  I understand that I must complete a minimum of 20 working days of service in order to be eligible to receive a stipend.  I understand that this application must have prior approval .

Signature of Applicant _______________________________             Date of Application _____________
 


Official Use Only
Date Received    __________                                                                                           Waiting List     __________
Comments:         __________                                                                                            Approval   _____________