FORM E

WINNISQUAM REGIONAL SCHOOL DISTRICT                                          SCHOOL ADMINISTRATIVE UNIT 59

STAFF DEVELOPMENT TRANSFER OF CREDIT HOURS FROM PREVIOUS EMPLOYMENT

TEACHER: __________________________________   SCHOOL :_________________________

CERTIFICATION COPY REC’D    □   DATE__________  FORM A REC’D  □  DATE_________

    Certification endorsements (Code # Area)                  Check (√ ) if Seeking                    Date of Expiration

                                                                                                     Recertification                             of Certification

1. #________  ______________________________                              □             ____________

2. # ________  __________________________________                   □             ____________

3. # ________  __________________________________                   □             ____________

4. # ________  __________________________________                   □             ____________

REQUIREMENTS:  A MINIMUM OF SEVENTY-FIVE (75) CLOCK HOURS EVERY THREE YEARS BEGINNING WITH THE EFFECTIVE DATE OF THE CREDENTIAL.  A MINIMUM OF THIRTY (30) CLOCK HOURS MUST BE ACCRUED IN EACH ENDORSEMENT IN GOAL 1, A MINIMUM OF FORTY-FIVE (45) CLOCK HOURS OF THE TOTAL HOURS REQUIRED SHALL BE DEVOTED TO APROVED PROFESSIONAL DEVELOPMENT ACTIVITIES TO MEET DISTRICT NEEDS, SCHOOL GOALS, AND/OR SCHOOL IMPROVEMENT PLANS.  (OF THESE FORTY-FIVE (45) HOURS, A MINIMUM OF FIFTEEN (15) MUST ADDRESS THE STAFF MEMBER’S GOAL 2; THE REMAINING CAN BE ACCRUED THROUGH GENERAL SCHOOL/DISTRICT SPONSORED ACTIVITIES.

I have reviewed documentation on the above staff development activities and approve transference of the clock hours listed into the staff member’s current staff development plan.

Signature of Supervisor__________________________________________Date________________