01.2020
AACS Continuing Education Attendance Voucher
Online Professional Development
Participant Information
Name
E-mail
Professional Development Activity Information
Event: Improving Student Learning and Iowa Performance Webinars
Instructors: Dr. Jeff Walton & Mrs. Judylynn Walton
Date/Time: ____________________________________________________
Title
Presenter
#1 Improving Iowa Performance 2020Identifying
Jeff Walton
#2 Math Subtest 46: Improving Iowa Performance 2020
Jeff Walton
#3 R|E|A|D|I|N|G: Improving Iowa Reading
Judylynn Walton
Sessions (Sessions are grouped; check only the ONE group that applies.)
Contact Hour
#1
1
#2
1
#1 & #3
1
#2 & #3
1
#1 & #2
2
#1 & #2 & #3
2
TOTAL (Sessions are grouped; check only the ONE group that applies.)
School Information
School Name ______________________________________________________________________________________
City ________________________________________________________________State ________________________
Administrator’s Signature* ___________________________________________________ Date ___________________
*Administrator’s signature verifies the attendance of participant at seminar/workshop.
*All continuing education vouchers or certificates must be mailed with re-certification application*
_______________________________________________________________________________________________________________________________________
For Office Use Only
Number of contact hours granted for activity: up to 2 contact hours
Signature of Education Office official ________________________
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signature
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