Fillable 2020 - 2021 On Your Own Time PD

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2020 - 2021 On Your Own Time PD

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2020 - 2021 On Your Own Time PD Hours
Please complete this form, including verification of your attendance by the instructor, attach a copy of the agenda and
your registration, have your principal approve, and mark course #1071171in Kalpa as “Taken.” Please do not add the
individual course(s) to the On Your Own Time category. Principal and teacher should keep a copy of this form.
Date of PD Title/Description of PD Activity # of hours Instructor’s Signature
Teacher’s Name & Signature
Date
Principal’s Signature
Date
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2020 - 2021 On Your Own Time PD

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Completed 21 May 2021

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