District #518 Staff Development Best Practice Grant Request

District #518 Staff Development Best Practice Grant Request

Applicant’s Name _________________________________________________ Building _________________

Activity _______________________________________________________Date request submitted_________

Procedure for requesting funds:

Each staff member must fill out his or her own request form.
Attach a copy of the staff development conference brochure/information, etc.
Submit the request to a District Staff Development Committee member.
If the request involves travel beyond 300 miles from Worthington, the request must also be submitted to the District #518 School Board for approval.
Fill out and submit the follow-up form after completion of the workshop, training, writing, etc.

Funds Requested:

Substitute ______________ Curriculum Writing Stipend

Registration ______________ (in cycle – max. __ hours) ____________

Hotel/Motel ______________ Curriculum Writing Stipend

Food ______________ (new class, not in cycle, __ hrs.) ____________

Travel ______________ Dept. collaboration ____________

Other fees ______________

TOTAL ___________

My request addresses the following area/s of the District Staff Development Plan: (check those that apply)

____To improve communication with students, staff, parents, and community members

____To provide outstanding educational opportunities and direction that promotes a high standard of

achievement and success for students

____To develop and promote ongoing review of short and long range plans and goals that can assist in a

consistent and positive direction for the district

____To increase involvement of students, staff, parents, community, businesses and others in the process of

building a quality education system

____To provide a positive, nurturing and enhanced learning environment

____To assess programs, processes, policies, and other items for success and efficacy in the district

____To improve student achievement of standards using best practice methods

____To meet the needs of a diverse student population

____To provide an inclusive curriculum

____To improve staff collaboration and develop mentoring and peer coaching programs

____To teach and model violence prevention policy and curriculum

____To provide site-based teams with appropriate management and financial skills

____Curriculum Writing

Answer the following questions to support your request for a Best Practices Grant (e.g. affects more than one building, front-burner issue, supported by data if possible, curriculum in active cycle)

What I expect to gain from the experience: _____________________________________________________

__________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How I plan to implement what I learn to increase student achievement: _____________________________

How do I plan to share this information with others: _____________________________________________

_______________________________________ _________________

Applicant’s signature Date

___ Approved

___ Denied: Reason ______________________________________________________________________

_____________________________________________________________________________

__________________________________________________________________

Committee signatures: (Admin.)__________________________________________ Date ____________

(Teacher)__________________________________________

___ Follow-up form completed