Bridge to Practice
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Select the event:
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What Bridge to Practice Level(s) are you submitting?
Level 1
Level 1 and Level 2
PCSD Implementation Form and Hour Log
Level 1 - Planning for Implementation
Please mark the actions you have completed related to this event.
Designed a lesson plan or action plan that includes a new specific strategy,tool, resource, etc.
Shared the lesson plan or action plan with a colleague for specific feedback
Revised the lesson plan or action plan based on collegial feedback
Please attach your lesson or action plan:
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Please attach any feedback you received:
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To what extent do you feel this level of Bridge to Practice was successful in driving learning and growth?
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Moderately successful
Successful
Very successful
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Level 2 - Implementation with Feedback
Date of the feedback observation:
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Month
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Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Select the name of the colleague that conducted the observation:
Focus of the observation:
In the space provided, explain the specific changes to YOUR instructional or leadership behaviors or practices as they relate to your new learning and/or the feedback shared by your colleague.
In the space provided, explain the specific changes to STUDENT learning behaviors OR other specific student impacts that occurred as a direct result of your implementation of new learning or extended ideas and/or the feedback shared by your colleague.
Please attach any files related to level 2:
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To what extent do you feel this level of Bridge to Practice was successful in driving learning and growth?
Rows
Not successful
Moderately successful
Successful
Very successful
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PCSD Implementation Form and Hour Log
Please remember, this option may only be used for events without a Bridge to Practice.
Please mark the actions you have completed related to this event:
Applied my new learning in the design and implementation of an action plan with a measurable goal.
Applied my new learning in the design of grants, policies, procedures, budgets, etc...
Extended my new learning through additional expert readings, discussions, or videos.
Demonstrated my new learning for my supervisor or colleagues.
Please attach your PCSD Implementation Form responses here:
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Please attach your signed Implementation Hour Log here:
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