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. Stipend 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.
Signature of Applicant _______________________________
Date of Application _____________