Staff Development Alternative Credit Request Form

This must be submitted to the Teacher Center for approval prior to attending a staff development activity outside of what Sumner County Schools offers. This should be submitted one week prior to attending the activity.

Name__________________________________________________________________

School__________________________________________________________________

Phone number where you can be reached:

Day____________________________________

Evening_________________________________

Grade/Subject__________________________________________________________________

Activity Title___________________________________________________________________

Activity Date/Time______________________________________________________________

Activity Description_____________________________________________________________

______________________________________________________________________________

Number of credit hours requesting__________________________

I am aware this teacher is making this request, subject to approval by the Teacher Center.

(PRINCIPAL’S SIGNATURE REQUIRED)

Every effort will be made to return this to you prior to the activity.

After attending the activity, return this form with documentation of your attendance. Documentation may include a brief outline of what you learned and how you plan to incorporate this new learning into your teaching and an agenda if applicable.

After this approval form and documentation is submitted, the information will be entered into the staff development online system.