Tussey Mountain School District
Act 48 Data Form
PPID Number
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E-Mail Address:
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Name (First and Last)
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Workshop Date and Title
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Please Select
1/26/18 - Tourniquet Training (2hrs)
1/26/18 - Data Review (1hr)
1/26/18 - Curriculum Mapping (1hr)
1/26/18 - PRIDE Training (1hr)
1/26/18 - Data Analysis (2hrs)
1/26/18 - Course Development (2.25hrs)
1/26/18 - PSSA Proctor Training (1hr)
1/31/18 - TIY PRESENTERS Academic and persistence coaching (3hrs)
1/31/18 - TIY TEACHER Academic and persistence coaching
2/14/18 - TIY PRESENTERS Continuation of Academic and persistence coaching (3hrs)
2/14/18 - TIY TEACHER Continuation of Academic and persistence coaching (2hrs)
2/21/18 - TIY PRESENTERS Social and Emotional Coaching (6hrs)
2/21/18 - TIY TEACHER Social and Emotional Coaching (4hrs)
2/28/18 - TIY PRESENTER - Motivating thru Incentives (3hrs)
2/28/18 - TIY TEACHER - Motivating thru Incentives (2hrs)
3/14/18 - TIY PRESENTER - Establishing Routines & Household Rules (3hrs)
3/14/18 - TIY TEACHER - Establishing Routines & Household Rules (2hrs)
3/26/18 - TIY PRESENTER - Effective Limit Setting (3hrs)
3/26/18 - TIY TEACHER - Effective Limit Setting (2hrs)
3/27/18 - TIY PRESENTER - Ignoring Inappropriate Responses and Time Out (3hrs)
3/27/18 - TIY TEACHER - Ignoring Inappropriate Responses and Time Out (2hrs)
3/29/18 - Text-Dependent Analysis (5.5hrs)
3/29/18 - Canvas Training (1hr)
3/29/18 - Emergency Training (1hr)
3/29/18 - Curriculum Work (1.5hrs)
3/29/18 - Child Abuse Training (3hrs)
3/29/18 - GUIDANCE Curriculum Development (1hr)
MAY 2018 - Child Abuse training (4 hrs)
6/01/18 - Reading Series Training (2hrs)
8/20/18 - Reading Series Training (2.5hrs)
8/20/18 - Study Island Training (1hr)
8/20/18 - Data Analysis (M/H School) (1hr)
8/21/18 - Safety Procedures Review (.5hr)
8/21/18 - MTSS Training (2hrs)
8/21/18 - School-wide Positive Behavior (M/H School) (1hr)
8/21/18 - Canvas Training (M/H School) (2.5hr)
9/5/18 - Data Analysis (IU8)(1hr)
10/8/18 - Data Analysis (4hrs)
10/8/18 - Child Abuse Training (4hrs)
10/8/18 - Canvas Training (1hr)
10/8/18 - Get More Math Training (3hrs)
Other (Please be sure to include DATE OF ACTIVITY AND TITLE)in the ADDITIONAL COMMENTS SECTION!!!
Sign In Time:
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Sign Out Time:
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TOTAL HOURS TO BE REPORTED TO PDE
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Name of Instructor/Presenter
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Please rate the following statements:
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Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Activity was well organized.
Activity objectives were clearly stated.
Activity/Assignments were relevant to objectives.
The instructor was well prepared.
The instructor was knowledgeable in the subject area.
The manner of presentation of the material was clear.
The instructor employed effective teaching strategies/techniques.
The instructor was objective and equitably interacted with the class.
Please provide any additional comments or concerns that you may have in the space below:
I certify this information to be true and complete. I understand that any misleading or incorrect data will render this Act 48 Data Form void.
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