Wisconsin Department of Public Instruction PDP WRITING FORM AND CHECKLIST PI-PDP-1 (Rev.

08-09)

INSTRUCTIONS: Use this form when writing your PDP.

Professional Development Plan (PDP) forms available at: http://dpi.wi.gov/tepdl/pdp.html BIOGRAPHICAL INFORMATION Educator Name Educator Telephone Area/No.

Claire Poad
Educator Address Street, City, State, Zip

608-445-9652
Educator Fax Area/No.

629 Washington St. Mineral Point, WI

E-Mail Address Educator File No.*

[email protected]
Educator School District

Mineral Point School District

Current Educational Assignment No. of Years in Current Assignment Years of Educational Experience

Elementary Physical Education

Month/Year PDP Submitted for Goal Approval (Initial Educators Only)

2
Month/Year Plan Submitted for PDP Verification

*Educator file numbers may be found on the DPI Educator License lookup at: http://dpi.wi.gov/tepdl/lisearch.html. Present Licensure Stage Initial Educator Professional Educator Master Educator Licensure Category Teacher Administrator Pupil Services PROFESSIONAL DEVELOPMENT PLAN Date Current License Expires

6-30-

Step I: Preparing to Write the PlanREFLECTION

Reflect and prepare to write your PDP goal in Step II. While reflection is a required step in the PDP process, recording your reflection below is optional.

Step II: Writing the PlanCOMPONENTS A. Description of School and Teaching, Administrative, or Pupil Services Situation WISEdash Illinois Students Illinois Interactive Report Card I am currently a second year elementary physical education teacher. The school is located in a rural setting. The ethnicity of the school in no incredibly diverse. There are about 15 non-white students that currently attend Mineral Point School district. There are about 2% of Hispanic students and less than 1% of black, Asian, and American Indian. Students without disabilities are at about 75% and students with disabilities is at about 10%. The other 15% is unknown. Review Checklist for Description of School Situation
Did you include a description of your teaching, pupil services, or administrative position? Did you include the number of years you have taught, been an administrator, or been in pupil services? Did you include whether the school is located in an urban, suburban, or rural setting? Did you include the ethnic, special needs, and socioeconomic makeup of the school population? Did you include your building goals/mission and/or district goals/mission?

PDP Writing Form2009

Page 2 PROFESSIONAL DEVELOPMENT PLAN (contd)

PI-PDP-1

B. Description of Goal to be Addressed

It is recommended that you use this stem: I will (research, study, learn, apply, etc.) So that (describe what you want to see happening differently with student learning).

I will research various ways to incorporate inclusion for students with disabilities so that students with disabilities can participate more regularly in physical education class.

Review Checklist for Description of the Goal

Did you describe how your goal will impact your professional growth? Did you describe how your professional growth will have an effect on student learning?

C. Rationale for the Goal: Links to Professional Situation and Wisconsin Educator Standards
Based on your reflection, describe the reason for your goal. Describe how your goal is linked to your educational situation, and write out the Wisconsin Educator Standards (two or more) that you will focus on to meet your goal.

The Mineral point School District has about a 10% rate of students with disabilities who attend school and about 15% of unknown. With this number, I think that it is important for students without disabilities to be exposed to students with disabilities, learn about what they go through, and learn about how difficult their lives can be. Through inclusion in physical education, I can adapt different activities so that all students can be involved. If students are more accepting and understanding within the school, they will be more understanding and accepting out in the real world. My PDP goal will focus on developing standards 3 and 7. Review Checklist for Rationale for the Goal
Does the rationale tell how your goal connects to your school, teaching, administrative, or pupil services situation? (Choose the category that applies to your situation) Did you write out the Wisconsin Educator Standards that you will focus on to meet your goal? (must select two or more)

D. Plan for Assessing and Documenting the Goal

Record the anticipated methods you will use to assess your professional growth and the effect on student learning. It may be helpful to review steps III and IV when writing your assessment plan as they outline what is necessary when documenting your completed plan.

To assess my professional growth I will collaborate with other physical education adapted teachers. To assess the effect on student learning I will use a pre and a post feelings chart on how students without disabilities feel about students with disabilities. Also, I will do a pre and post feelings chart about how much students with disabilities enjoy going to physical education class. Review Checklist for Plan for Assessing and Documenting Achievement of the Goal
Did you include in the plan the anticipated methods you will use to assess your professional growth? Did you include in the plan the anticipated methods you will use to assess the effect on student learning?

E. Plan to Meet the Goal: Objectives, Activities, Timeline, and Plan for Collaboration
Note: Completion dates will be filled in during Step III as each objective/activity is completed.
OBJECTIVE 1

I will increase my knowledge in different inclusion methods so students with disabilities can participate in physical ediucation class.
Activities Timeline Collaboration Date Completed

I will attend a seminar dealing with activity and students with disabilities. I will sign up for a webinar dealing with students with disabilities

2014 2014

PE teachers Fill in

Fill in Fill in

PDP Writing Form2009

PI-PDP-1

Page 3

OBJECTIVE 2

I will research various methods for many different activities in physical education.
Activities Timeline Collaboration Date Completed

I will visit another school that has inclusion for students with disabilities. I will attend a conference that gives different inclusion ideas,

2014 2014

PE Teachers Fill in

Fill in Fill in

OBJECTIVE 3

Activities

Timeline

Collaboration

Date Completed

OBJECTIVE 4

Activities

Timeline

Collaboration

Date Completed

OBJECTIVE 5

Activities

Timeline

Collaboration

Date Completed

PDP Writing Form2009

Page 4 PROFESSIONAL DEVELOPMENT PLAN (contd)

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Review Checklist for Objectives, Activities, Timeline, and Plan for Collaboration
1. Objectives Did you include objectives that directly address the goal? Did you include objectives that are observable and verifiable? 2. Description of Activities and Timelines Did you align your activities with your goal and objectives? Did you extend the activities through multiple years of the licensure cycle? Did you state a timeline for completing the activities? 3. Plan for Collaboration Did you include collaboration with others in your plan?

Initial educators must submit Step II, A-E, to a PDP Team for Goal Approval. Step III: Annual Review of the PDP
Annual reviews are done in years two, three, and four and will be submitted as part of your completed plan in the last year of your licensure cycle.

Return to Step II E and enter completion dates for each activity completed. Write a reflection in year two summarizing the progress made towards completing your goal. Indicate, in your reflection, how you grew professionally and/or how your professional growth had an effect on student learning. Write any revisions to your objectives or activities in the revision area. Return to this step annually until your PDP is complete and ready to be submitted for verification.

Initial Educators may complete a 3, 4, or 5 year plan. One annual review is required for a three-year plan, two annual reviews are required for a four-year plan, and three annual reviews are required for a five-year plan. If there is a substantial change to your GOAL, you must complete and resubmit section II A-II E to a team for review and approval of the new goal. Professional Educators must complete a five-year plan with three annual reviews.

Reflection (Year 2) Date: Date:

Revision (if needed)

Reflection (Year 3) Date: Date:

Revision (if needed)

Reflection (Year 4) Date: Date:

Revision (if needed)

PDP Writing Form2009

Review Checklist for Annual Review

Did you include in your reflection how you grew professionally and/or how your professional growth had an effect on student learning? Did you include any revisions to your objectives or activities? Did you fill in completion dates for activities? (refer to Step II E of your plan)

Step IV: Documentation of Completion of the PDP

Your PDP must include 3-5 pieces of evidence that document professional growth and the effect on student learning. Number and label each piece of evidence (i.e., 1. Student test score analysis). You may use a single piece of evidence that focuses solely on professional growth or the effect on student learning as long as your completed plan includes both types of documented evidence. When attaching evidence, please include the number and label entered below.

A. Evidence of Professional Growth and the Impact of Professional Growth on Student Learning

1. 2. 3. 4. 5.

Number and label each piece of evidence. Indicate whether each piece of evidence documents professional growth, the effect on student learning, or both. Describe each piece of evidence identifying what is documented and the relationship of the evidence to the goal.

Review Checklist for Evidence of Completion of Your Plan

Did you provide three to five pieces of evidence? Did you describe how your evidence documents your professional growth? Did you describe how your evidence documents the effect on student learning?

B. Reflection and Summary

Describe how you grew professionally in the Wisconsin Educator Standards identified in your PDP. Describe in detail the effect of your professional growth on student learning. Describe how you collaborated with others while working on your PDP.

Review Checklist for Summary and Reflection Statement

Did you describe how you grew professionally in the Wisconsin Educator standards identified in your plan? Did you describe the effect of your professional growth on student learning? Did you describe how you collaborated with others?

C. Submitting the Completed PDP for Plan Verification

Submit your completed PDP including your 3-5 pieces of labeled evidence to a PDP Team no later than January 15 of the final year of the plan. If you are an Initial Educator, include a copy of your signed Goal Approval Signature Form(s).

PDP Writing Form2009