|
ORLEANS CENTRAL STANDARDS BOARD (OCSB)
APPLICATION FOR CREDIT
Application: Educator will complete # 1-8.
1. Name: ______________________________________
2. License endorsement (level and area): _____________________________
Expiration date: ______________________________________________
3. Teaching assignment: _______________________________________
4. Name, title, or identification of activity: ____________________________
5. Institution presenting or sponsoring activity (school, college, university, etc.):
______________
6. Number of credits offered by institution (or requested): _________
or number of hours to complete the activity: ______________________
7. Date(s)of activity: _______________________________
8. Indicate which goal(s) from your IPDP this activity meets:
ACTION on Prior Approval:
Proposal accepted__________
Proposal rejected ______________ Comments:
Revisions needed _______________
Chairperson OCSB: _______________________________ Date: _______________
For Final Approval please submit the following:
_____ appropriate grade report, transcript, or certificate of attendance
_____ appropriate data, exhibits, and/or an evaluation
_____ teaching units to show implementation
____ narrative of how this activity improves your teaching
____ other
ACTION on Final Approval:
Credits given by OCSB _______ Comments: _________________________________
Chairperson OCSB: ______________________________________Date: __________
Copyright © 2006, Lake Region Union
High School. All rights reserved.
Page Last Updated
April 24, 2007 1:14 PM
|
