Course # ___________ SDU's ___________ Course Title____________________________ ______________________________________ Course Dates (B)____________(E) _________ Instructor _____________________________
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Name__________________________________ Social Security # _______________________ School ________________________________ Phone (W) _____________ (H) _________ Position _____________________________
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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 _____________