DEF(EXHIBIT) - COMPENSATION AND BENEFITS: MERIT PAY

REQUEST FOR PRIOR APPROVAL OF NON-DISTRICT SPONSOREDPROFESSIONAL DEVELOPMENT HOURS

PERSONAL INFORMATION:

Name: Social Security #:

School: Subject/Grade:

WORKSHOP INFORMATION (needs principal approval only):

The workshop portion of this form must be completed and approved by the Principal prior to teacher participation in workshops in order for the hours to count toward the 12 hours required of teachers to be considered for a pay increase.

This form need not be completed for District-sponsored workshops or for approved school-based workshops provided the workshops you attend were designed for teachers in your content area/field.

Title of Workshop:

(attach description, if available)

Date(s) of Workshop:

Location: Time(s) of Workshop:

Total Hours Requested: Number of GT Hours Requested:

Sponsor:

Principal's Signature:

COLLEGE COURSEWORK: The college coursework portion of this form must be completed and approved by the Associate Superintendent for Curriculum and Instruction prior to enrolling in college courses in order for professional development hours to be considered.

Title of Course:

Number of Coursework Hours:

Semester (Fall/Spring/Summer): Year:

College/University:

Seeking Certification or Endorsement? If so, specify:

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STAFF DEVELOPMENT APPROVAL: ________ Yes _________ No

Signature — Associate Superintendent , C&I (or designee)Date

This form is only to be used for requesting Professional Development hours. The "Work-shop Information" box (above) requires only principal approval. In order to have those hours entered into the database at the Central Office, teachers should submit their certificate of attendance at the workshop along with this form (showing principal approval) to the C&I Department. Assignment of Professional Development hours for college coursework requires approval of the Associate Superintendent for C&I. With approval, the teacher should submit this form (showing Assc. Supt. approval) and their college transcript or other documentation showing successful completion of the course(s) to the C&I Department.

Spring ISD

DEF(EXHIBIT)-X

LDU 2009.01

DATE ISSUED: 3/23/2009