PROFESSIONAL GROWTH INITIATIVE
In accordance with Article 16 of the District/CSEA agreement and the District procedures, this form must be completed
prior to engaging in an activity that will lead to the Professional Growth Initiative allowance. In completing this form, the
employee shall follow the Professional Growth Guidelines.
Professional Organization or Institution
SIGNATURES/APPROVALS (MUST BE OBTAINED PRIOR TO THE START OF ACTIVITY)
Associate Superintendent/Vice President Signature
VERIFICATION OF COMPLETION
I certify that the number of units identified in the check box below have been successfully completed as indicated on the
attached documentation (letter, certificate, transcript).
Filed in the employee's personnel file by
Sem. Qtr. Activ.
Unit Unit Hrs.
Student Educational Plan Attached
Alternative Work Schedule Attached (if applicable)
Title of Course, Workshop or Activity
(attach appropriate documentation)
Supervisor Use Only (initial one)
Supervisor Use Only