ࡱ> WYV` r0bjbjss 7N6 ```t\\\\ldt 08$       $!hI$& E`& k DDD(8` D DDH`D, \@DT 0 D$&$D$`DhGZ@D4GGG& & 4GGG ttt Dtttttt CHITTENDEN EAST SUPERVISORY UNION #12 LOCAL STANDARDS BOARD P.O. Box 282 Richmond, Vermont 05477 AGGREGATE CREDIT DOCUMENTATION FORM Name:  FORMTEXT       The Chittenden East Supervisory Union Local Standards Board will allow teachers attending workshops, conferences and training sessions that have less than 15 contract hours to accumulate contact time equal to 15 hours for relicensing credits if the content is related. The hours must be accumulated within three (3) academic years and must be related to one goal in your IPDP. You may earn up to four of the nine relicensing credits required per licensing period in this manner. This form does not require prior approval. INSTRUCTIONS: Complete the information below. Attach this form to all Professional Development Forms and evidence of participation that documents activities for which you request aggregate credit. Submit all forms when the total contact hours reach 15. 1. To which goal from your current IPDP do these activities relate?  FORMTEXT       2. List completed activities, making sure that you document the contact hours with certificates. Activity Contact Hour(s) Date(s)  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       . 0 > @ B   q r ǹveTTTB0#h?5hX35CJOJQJ^JaJ#h?5h{s5CJOJQJ^JaJ hOhX3CJOJQJ^JaJ hOh~WCJOJQJ^JaJ2jhlh(Q>*CJOJQJU^JaJ#hlhl>*CJOJQJ^JaJ,jhlhl>*CJOJQJU^JaJh~WCJOJQJ^JaJ hOh{sCJOJQJ^JaJ&hOhX35CJOJQJ\^JaJ&hOh{s5CJOJQJ\^JaJLx @ B  V X   $7$8$H$Ifgd{s 7$8$H$gd+Uu 7$8$H$`gd?5 7$8$H$gd{s7$8$H$^`gdJ $7$8$H$a$gdX3l0p0    S T $ & V X r`Fr2jthlh(Q>*CJOJQJU^JaJ#hlhl>*CJOJQJ^JaJ,jhlhl>*CJOJQJU^JaJhlCJOJQJ^JaJ hOhX3CJOJQJ^JaJh?5CJOJQJ^JaJ hOh{sCJOJQJ^JaJ&h?5h{s5>*CJOJQJ^JaJ#h?5hX35CJOJQJ^JaJ#h?5h{s5CJOJQJ^JaJ  pLjòs[Css.jhlCJOJQJU^JaJmHnHu/jhlhlCJOJQJU^JaJhlCJOJQJ^JaJ#jhlCJOJQJU^JaJh+UuCJOJQJ^JaJ hOh{sCJOJQJ^JaJ hOhX3CJOJQJ^JaJ#hlhl>*CJOJQJ^JaJ,jhlhl>*CJOJQJU^JaJ&jhl>*CJOJQJU^JaJ $&:<>HJLNbdfprtvսկկսկկսկկgսկկO/jhlh(QCJOJQJU^JaJ/j#hlh(QCJOJQJU^JaJ/jhlhlCJOJQJU^JaJ/jhlh(QCJOJQJU^JaJhlCJOJQJ^JaJ.jhlCJOJQJU^JaJmHnHu#jhlCJOJQJU^JaJ/j\hlh(QCJOJQJU^JaJ"$LtckdH$$IflF ,"h   t06    44 la $7$8$H$Ifgd{s.02<>@BVȰȘȀh/j=hlhlCJOJQJU^JaJ/j`hlh(QCJOJQJU^JaJ/jhlh(QCJOJQJU^JaJ/jvhlhlCJOJQJU^JaJhlCJOJQJ^JaJ#jhlCJOJQJU^JaJ.jhlCJOJQJU^JaJmHnHu!qccc $7$8$H$Ifgd{skd$$IflF ,"h   t06    44 la@hqccc $7$8$H$Ifgd{skd$$IflF ,"h   t06    44 laVXZdfhj~սկկսկկսկկgսկկO/jhlh(QCJOJQJU^JaJ/jxhlh(QCJOJQJU^JaJ/jhlhlCJOJQJU^JaJ/j'hlh(QCJOJQJU^JaJhlCJOJQJ^JaJ.jhlCJOJQJU^JaJmHnHu#jhlCJOJQJU^JaJ/jhlh(QCJOJQJU^JaJ *qccc $7$8$H$Ifgd{skd$$IflF ,"h   t06    44 la    FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT       Total hours accumulated toward this goal:  FORMTEXT       Describe how you plan to incorporate these activities into your teaching.  FORMTEXT       4. Date started: FORMTEXT       Date completed: FORMTEXT       5. Principal s signature:______________________ Date:________________________________ 6. Your signature: ___________________________ Date:_______________________________ 7. 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