FORM 3.0 SELF-DIRECTED PROFESSIONAL GROWTH PLAN · SELF-DIRECTED PROFESSIONAL GROWTH PLAN. Licensed Employee_____ School Year_____ Formative evaluation year 1 Formative evaluation

FORM 3.0 SELF-DIRECTED

PROFESSIONAL GROWTH PLAN

Licensed Employee

Formative evaluation year 1

Formative evaluation year 2* Summative year**

Professional Development Growth Goal:

This goal addresses components in (check all that apply):

Domain 1 Domain 2 Domain 3 Domain 4

Activities and/or steps to be taken

(use additional pages as necessary) Persons/resources

needed Documentation Timelines and Deadlines

______________________________________ _____________________________________________ Licensed Employee/Date Administrator/Date

*In the second year of the formative cycle, this may be a continuation of the goal from Year 1 or a new goal may be developed. If the goal is a continuation from the previous year, be prepared to reflect upon the lessons learned in year ______.

**While a professional growth plan is not required by the NWRESD in the summative year, the licensed employee will still be working to acquire PDU’s required for license renewal.

Northwest Regional ESD Self-Directed Professional Growth Plan: Form 3.0 Performance Handbook for Licensed Employees Appendix - Page 43

Example of Form 3.0

SELF-DIRECTED PROFESSIONAL GROWTH PLAN

Licensed Employee_______________________________ School Year_________________

Formative evaluation year 1 Formative evaluation year 2*

Professional Development Growth Goal: To improve the data collection tools available to the behavior program.

This goal addresses components in (check all that apply): Domain 1 Domain 2 X Domain 3 Domain 4

Develop a computer program for collection and analysis of behavioral data. Development and implement system for documentation of medication changes, physical interventions & supervision protocols.

Access to computer classes in advanced Excel or beginning Access; release time as needed for classes & to visit like programs to research their systems Access to computer

Completed program data is available to IEP team; system presented to team; schedule of visitation to programs. Protocols for students are available in files and to IEP team

Checkpoints: 11/13/02; 2/12/03 Completed 5/30/03 Same as above

__________________________________________ ________________________________________ Licensed Employee/Date Administrator/Date *In the second year of the formative cycle, this may be a continuation of the goal from Year 1 or a new goal may be developed. If the goal is a continuation from the previous year, be prepared to reflect upon the lessons learned in year ______. **While a professional growth plan is not required by the NWRESD in the summative year, the licensed employee will still be working to acquire PDU’s required for license renewal.

Self-Directed Professional Growth Plan Example Northwest Regional ESD Appendix - Page 44 Performance Handbook for Licensed Employees

Activities and/or steps to be taken

(use additional pages as necessary) Persons/resources

needed Documentation Timelines and Deadlines