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**Coal** **Ridge Middle School** **Request for Professional Development Funds** Date of Request:_____________________ Name:___________________________ Title of Conference/Training:______________________ (Attach all information regarding this conference/training ie: conference flyer, registration and cost info, etc.) DATES and TIME of Conference : ___________________________ AMOUNT REQUESTED :__________ Itemize all costs involved. (conference, substitute, etc.___________________________________________________________ Funding may not be available for all costs involved. Would you be willing to take a reduced amount. ____________ If yes, describe acceptable options. ___________  __________________________________________________________  CONFERENCE DESCRIPTION:  (Briefly describe the point of conference and how attending will benefit your classroom instruction/student benefit/ and/or benefit staff.)   What student, classroom, school, or district data/ background information did you use to help you    determine the need for you to attend this conference?   ACCOUNTABILITY:   What do you anticipate learning at this conference?    How do you anticipate using these learnings to improve professional practice and increase student achievement?    Please identify the sessions you plan to attend.    How will you share your learnings and the information from the conference with your colleagues? Include the intended date for sharing. For example: Presentation to staff, content area teachers, etc. Electronic publication, virtual campus, handouts, etc. Please list any other information or comments here. Signature_________________________________
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