WAYNE TOWNSHIP PUBLIC SCHOOLS
Post Professional Development and Travel Report
Use this form following a convention, conference, professional meeting, or workshop attendance.
THIS FORM MUST ACCOMPANY ANY RECEIPTS FOR REIMBURSEMENT IF APPLICABLE.
Rev. 02/02/12
Name:
Department/Grade:
Title of convention, conference,
or worksho
p
:
Date(s) of
Event:
Use the following space to describe the primary purpose of the professional development activity and the key issues addressed:
Use the following space to explain the relevance to improving instruction or the operation of the school district
1
:
1
I understand that I will be expected to share information and materials with other staff members as appropriate.
Staff Member: ____________________________
Signature
Board Approval Date - _________________________
Please submit this form
within 10 business days
of return.
(per 18A:11-12d)
Supervisor/Principal: ___________________________
Signature