APPLICATION FOR PPDI
Section 1: In column to the right, check your appropriate
classification(s).
1. Educators eligible to
apply to become a potential professional developer in Content Enhancement
meet each of the following
requirements noted as a, b, c.
a) Have participated
actively in professional development for a minimum of 4 CE Routines.*
2010-2012
b) Have implemented 2 different planning and
2 different teaching CE Routines throughout the year*
2010-2012
c) Have implemented the CE Routines for a sufficient length of time to
demonstrate proficiency and/or a competence as verified by a certified SIM
Professional Developer
2010-2012
2.
Supervisors, coordinators, or university
personnel who have been using CE Routines (including one planning routine and
one concept routine) for at least two
(2 ) years are eligible to apply to
become a potential professional developer in CE.*
* Willing to provide follow-up contact with
classrooms in which the Content Enhancement Routines are taught.
Section 2: To be completed and
submitted:
Date
Completed
A. One
(1) completed application form
May 2012
B. Portfolio
to include a minimum of: (see attached Directions)
1. __X___ One Unit Organizer constructed and used
in a classroom.
2. ___X____ One Concept Diagram
constructed and used with students in a classroom.
Sept. 2010 &
2011
April 2012
3. A minimum
of 2 Samples for each of 2 Content Enhancement Routine devices constructed by
students (2 per routine)
Sept. 2010 &
2011
April 2012 Unit Organizer (name): _ Chemistry __Sample _1 Garette
St.Ann (PreAP) Sample2)_Rudy
Solis (ESL) Modified version
Concept Diagram (name): Chemical Change Sample
1) Audra Banks Sample2)
John Cavazos
Sept. 2010 &
2011
April 2012
4. Evidence,
such as a course syllabus, journal, or letter explaining implementation (see
attached directions)
May 2012
5. One video recording of yourself
conducting the Cue-Do-Review Instructional steps (see attached Directions and
Checklist)
April 2012
6. Letter
of Reference from Immediate Supervisor or Agency Administrator to
address:
May 2012
a) applicant's instruction and/or
implementation of SIM Content Enhancement
May 2012
b) a commitment to a co-instructional/apprenticeship relationship between
the local potential professional
developer(s)and the SIM professional developer currently providing
instruction in the area for at least one year
May 2012
c) the commitment of the agency to continue instruction and
implementation of SIM over the next three to five years, including a
statement of potential impact in number of teachers to be trained and number
of students to receive instruction;
May 2012
d) the role the applicant will play in future instruction in the district
and/or agency,
May 2012
e) the district or agency's commitment to support the continuing development
of the professional developer(s), including providing support for KU-CRL
updates at conferences or instruction/professional development institutes every other year.
May 2012
6. Letter of Support by the
Certified SIM Professional Developer who has
provided instruction for applicant addressing: a) applicant's instruction
& implementation; b) district/agency's commitment to instruction &
implementation of SIM; agreement to assist in a co-instruction relationship.
May 2012