Request for Professional Learning

Created for Courtney Bearsch by Nhan Nguyen on 04/21/2021
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Request for Professional Learning

Thank you for contacting the Indiana Department of Education. Please complete this form in its entirety. You will receive a response within 10 business days of submitting a request.

* Required
Email Address*

Confirmation Emailexample@example.com
Name*

First NameLast Name
Phone Number*
District/Corporation/Organization Name*
School Name
My role is best described as*

Building Level AdministratorCentral Office AdministratorCurriculum DirectorAssessment DirectorClassroom TeacherInstructional/Data CoachOther

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Impact

Respond to the following questions concisely but thoroughly. Consideration of the following questions will ensure the requested professional learning request aligns to the school/district/organizational goals and has long-term impact on teaching and learning.
How does this request align to your school/district/organizational goals?
Outline how you envision the proposed professional learning will improve instruction and increase student learning in your school/district.
Explain briefly how you intend to monitor long-term implementation of learning.
Explain briefly how you will measure the long-term success of this request.
Should be Empty: