pd form

1. GREEN BAY HIGH SCHOOL
STAFF PROFESSIONAL DEVELOPMENT APPLICATION FOR FUNDING
SECTION 1: APPLICATION - to be completed by applicant and emailed to:
smt@greenbayhigh.school.nz
Name:_________________________________ Teacher Code____________________________
Name:_________________________________ Teacher Code____________________________
Department/Learning Area: ________________________________________________________
Name of Programme/Course: ______________________________________________________
Cost: $ ____________(attach relevant paperwork) Relief required: (Periods) ______________
Type of Professional Development: (circle one only)
Course Qualification MOE contract or similar Workshop Conference
Date(s): ___________________________________ Time: ________________
Is the cost of relief to be invoiced to outside provider? YES/NO
SECTION 2: RATIONALE – to be completed in discussion with HOD
Please complete the following check list: Tick
The professional development meets needs as identified by the faculty/department
The professional development will help the faculty/department accommodate national education initiatives
The professional development will improve management practice
The proposal will help the individual achieve objectives negotiated as part of the appraisal process
Arrangements have been made for the recipient to report the results of professional development (written
report/article, departmental meeting/workshop, peer teaching, report to appraiser)
Other comments: _____________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
SECTION 3: DECISION (To be completed by SMT)
This application is approved / declined for the following reason/s:
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
Copy to Ron (TRD requirement) 