Planning Checklist

Professional Learning Planning Checklist

Angela McCord, Ed.D, Mathematics and Technology Integration Specialist
I am looking forward to working with you and your team to implement best practice instructional strategies and/or 21st-century technology integration.

To ensure this professional development session meets your goals and expectations please complete this checklist.

This information will be used to set the groundwork for our strategy meeting and/or planning call. Once completed, I will follow up with the contact to discuss your needs.
PD Contact Information
Contact Name *

First Name Last Name
Title *
Email *
example@example.com
School or School District *
Location Phone Number *

Area Code Phone Number
Emergency Phone Number *

Area Code Phone Number
Training Location Name
Physical Address of Training (Street, City, State, Zip Code) *
Start/End Time (up to 6 hours)

: Hour Minutes AM/PM Option
Until
until : Hour Minutes AM/PM Option
Approximate Number of Participants
Lunch Options
Is this a New Request or Update to Existing Services? *

New Request Update
Background / Professional Development Needs *
Training Needs and Desired Timelines *
Dates and Times available for a quick call (Approx. 30 minutes) *
Goals for your participants, and any additional information that will support the delivery of your Professional Development: *
Should be Empty:

Professional Learning Planning Checklist