Bellows Free Academy Local Standards Board
1. Name:
2. Home Address:
3. Work Address:
4. School District where Employed:
5. Teaching Position:
6. Code #(s) Level Endorsement Title(s) New Expiration Date
7. Conduct a self-assessment using the thinking prompts on pages 17-19 of The Vermont Re-Licensing Process: A Reflection of Ongoing Professional Growth, A Handbook for Educators
Include the Reflective Results of your Self-Assessment below. You do not need to include this item if you are creating your Individual Professional Development Plan for the first time.
GOAL NUMBER ONE
Specific:
Measurable:
Attainable:
Relevant:
Time-Bound:
Five Standards and Sixteen Principles
Please check which of the IPDP requirements listed below are appropriate for this particular goal. The following chart also serves as a reminder that professional development and activities relating to your goal must have connections with the Five Standards and Sixteen Principles for Vermont Educators; TO YOUR ENDORSEMENT, YOUR SCHOOL ACTION PLAN AND TO STUDENT ACHIEVEMENT. Activities connected to this goal are expected to be documented in your Portfolio through Artifacts.
Your Portfolio must also include a Reflective Narrative as described in the Licensing Regulations (page 41 of The Vermont Re-Licensing, Process: A Reflection of Ongoing Professional Growth, A Handbook for Educators.
|
Learning |
Professional Knowledge |
Colleagueship |
Advocacy |
Accountability |
|
Principle 1 |
Principles 2-10 |
Principle 11 |
Principle 12 |
Principles 13-16 |
|
|
|
|
|
|
Activities To Be Undertaken
Endorsement Competencies To Be Addressed (either attached your list of competencies or list them below)
School Initiatives To Be Addressed
GOAL NUMBER TWO
Specific:
Measurable:
Attainable:
Relevant:
Time-Bound:
Please check which of the IPDP requirements listed below are appropriate for this particular goal. The following chart also serves as a reminder that professional development and activities relating to your goal must have connections with the Five Standards and Sixteen Principles for Vermont Educators; TO YOUR ENDORSEMENT, YOUR SCHOOL ACTION PLAN AND TO STUDENT ACHIEVEMENT. Activities connected to this goal are expected to be documented in your Portfolio through Artifacts.
Your Portfolio must also include a Reflective Narrative as described in the Licensing Regulations (page 41 of The Vermont Re-Licensing, Process: A Reflection of Ongoing Professional Growth, A Handbook for Educators.
|
Learning |
Professional Knowledge |
Colleagueship |
Advocacy |
Accountability |
|
Principle 1 |
Principles 2-10 |
Principle 11 |
Principle 12 |
Principles 13-16 |
|
|
|
|
|
|
Activities To Be Undertaken
Endorsement Competencies To Be Addressed (either attached your list of competencies or list them below)
School Initiatives To Be Addressed
GOAL NUMBER THREE
Specific:
Measurable:
Attainable:
Relevant:
Time-Bound:
Please check which of the IPDP requirements listed below are appropriate for this particular goal. The following chart also serves as a reminder that professional development and activities relating to your goal must have connections with the Five Standards and Sixteen Principles for Vermont Educators; TO YOUR ENDORSEMENT, YOUR SCHOOL ACTION PLAN AND TO STUDENT ACHIEVEMENT. Activities connected to this goal are expected to be documented in your Portfolio through Artifacts.
Your Portfolio must also include a Reflective Narrative as described in the Licensing Regulations (page 41 of The Vermont Re-Licensing, Process: A Reflection of Ongoing Professional Growth, A Handbook for Educators.
|
Learning |
Professional Knowledge |
Colleagueship |
Advocacy |
Accountability |
|
Principle 1 |
Principles 2-10 |
Principle 11 |
Principle 12 |
Principles 13-16 |
|
|
|
|
|
|
Activities To Be Undertaken
Endorsement Competencies To Be Addressed (either attached your list of competencies or list them below)
School Initiatives To Be Addressed
SIGNATURE PAGE
_________________________________ _________________________
Signature of Teacher Date
_________________________________
Name of LSB Chair
Action Date
Clarification Needed ( ) _________________________
Approved ( ) _________________________
_________________________ _________________________
Signature of LSB Chair