Revised 8/14
Staff Professional Development
Professional Development Activity Completion Form
Select Professional Development Type
Video
Source: (i.e. Starlink, Conference, etc.)
After participating in this session or watching the video, please complete this form. Keep a copy
and return the original to the Office of Staff and Professional Development (Bldg. 96, Room
9652, Pensacola Campus). If you have any questions, please call the SPD Office at 484-1754.
Please Print Clearly
Name:
Dep
artment:
Cam
pus:
Classification:
___ Adjunct Faculty ___ Full Time Faculty
___ Professional/Administrator ___ Career Service ___ Other
Title
of Event:
Da
te of Completion: _________________________________________________________
Ca
tegory:
___ Classroom Management (CLM)
___ The Community College (CCP)
___ Curriculum & Instruction (CUR)
___ Learning Technologies (DLT)
___ Legal and Other Issue Affecting Higher Education (LOI)
___ Psychology of Learning (POL)
___ Tests and Measurements (TAM)
___ General Professional Development (GPD)
How did this professional development session(s)/event increase your knowledge, skills, ability
or awareness of the topic presented?
How would you implement the lessons learned from this session(s)/event into your classroom
curriculum or workplace?
