ISBE 73-58 (1/20) Provided by the Illinois State Board of Education, Educator Effectiveness Department, Springfield, IL
APPROVED PROFESSIONAL DEVELOPMENT
PROVIDER ACTIVITY SUMMARY
Directions: For each professional development activity for which renewal PD Hours are awarded, complete this template (or an
electronic format) and keep in your records along with the attendance list. This will be useful for State auditing purposes.
NAME OF APPROVED PROVIDER REGION, COUNTY, DISTRICT, TYPE CODE
NAME OF PROVIDER NAME OF ACTIVITY
DATE OF ACTIVITY LOCATION OF ACTIVITY
1. Describe the activity.
2. Write a statement showing the relationship between the content of the PD activity, specific relevant standard(s), and at least
one of the following criteria established for PD activities:
Engages participants over a sustained period of time allowing for analysis, discovery, and application as they
relate to student learning, social or emotional achievement, or well-being; or
Aligns to the licensee’s performance (evaluation); or
Includes outcomes that relate to student growth or district improvement; or
Aligns to State-approved standards; or
Are college courses.
3. Explain the intended impact on student learning or well-being.
EDUCATOR EFFECTIVENESS DEPARTMENT
100 North First Street, E-240
Springeld, Illinois 62777-0001
4. Attach the attendance list or keep this template with the list in electronic format.
5. Keep the evaluation forms in hard copy or electronic format with the template and attendance list.
6. Maintain a master Evidence of Completion form.
Use your "Mouse" or "Tab" key to move through the fields and check boxes. After completing last field, save document to hard drive to make future updates or click print button.
PD Hour Considerations for Mandated Trainings
Generally speaking, health-related, mandated training topics do not align with professional development purposes
outlined in Section 21B-45(h) of the School Code and do not count for professional development hours. However, if a
provider can ensure content is robust enough to align to the criteria outlined in Figure 1 below, professional
development hours may be awarded. Topics must address student learning and school improvement to be used for
professional development hours.
Is this activity a Mandated Training? Yes____ or No____
Section I.
Review the Professional Development Purposes in Figure 1 below. If you can answer “yes” to any of the purposes as
they relate to student learning and school improvement, then review the Professional Development Standards in
Section II (Figure 2 - Learning Forward Standards) to ensure PD activities meet those standards. If you cannot answer
yes to one or more of the following statements, the professional development activity does not qualify for professional
development hours.
Figure 1 - Professional Development Purposes Yes No
A. Increases the knowledge and skills of school and district leaders who guide
continuous professional development.
B. Improves the learning of students.
C. Organizes adults into learning communities whose goals are aligned with those of
the school and district.
D. Deepens educator’s content knowledge.
E. Provides educators with research-based instructional strategies to assist students in
meeting rigorous academic standards.
F. Prepares educators to appropriately use various types of classroom assessments.
G. Uses learning strategies appropriate to the intended goals.
H. Provides educators with the knowledge and skills to collaborate.
I. Prepares educators to apply research to decision-making.
J. Provides educators with training on inclusive practices in the classroom that
examines instructional and behavioral strategies that improve academic and social-
emotional growth outcomes for all students, with or without disabilities, in a general
education setting.
ISBE 73-58 (1/20) Provided by the Illinois State Board of Education, Educator Effectiveness Department, Springfield, IL
Section II.
Review the Learning Forward Standards - Professional Development Standards in Figure 2 below. Professional
development activities must be aligned to one or more the state approved national standards for professional learning
promulgated by Learning Forward Standards
below. Indicate alignment by selecting “yes” or “no” for each standard. If
you cannot answer yes to one or more of the following statements, the professional development activity does not
qualify for professional development hours.
Figure 2 - Learning Forward Standards
Yes
No
1.
Learning Communities - committed to continuous improvement, collective
responsibility, and goal alignment.
https://learningforward.org/standards/learning-communities
2.
Leadership - skillful leaders who develop capacity, advocate, and create support
systems for professional learning.
https://learningforward.org/standards/leadership
3.
Resources - requires prioritizing, monitoring, and coordinating resources for
educator learning.
https://learningforward.org/standards/resources
4.
Data - uses a variety of sources and types of student, educator, and system data to
plan, assess, and evaluate professional learning.
https://learningforward.org/standards/data
5.
Learning Designs - integrates theories, research, and models of human learning to
achieve its intended outcomes.
https://learningforward.org/standards/learning-designs
6.
Implementation - applies research on change and sustains support for
implementation of professional learning for long-term change.
https://learningforward.org/standards/implementation
7.
Outcomes - aligns its outcomes with educator performance and student
curriculum standards.
https://learningforward.org/standards/outcomes
If your activity has a robust, thorough alignment to at least one of the Professional Development Purposes and at
least one of the Professional Development Standards (Learning Forward Standards), it qualifies for PD credit.
All professional development activities are subject to audit to ensure alignment to requirements outlined in Illinois
School Code.
ISBE 73-58 (1/20) Provided by the Illinois State Board of Education, Educator Effectiveness Department, Springfield, IL
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