TE-2900-26

8/07

Michigan Department of Education

OFFICE OF PROFESSIONAL PREPARATION SERVICES
P.O. Box 30008, Lansing, Michigan 48909

AUTHORITY: Section 380.1526

of Public Act 289, 1995

Direct quest ions regarding this

form to Dr. Bonn ie
Rockafellow at 5 17 -3 73 -786 1.

Beginn ing Teachers

ANNUAL RECORD OF P ROFESSI ONAL DEVELOP MENT
GENERAL INSTRUCTIONS: This form should be completed annually for each beginning teacher, then signed and dated by the building principal or individual
with school district authority for professional development. Each year a copy of this form should be placed in the school district personnel file and a copy
provided to the teacher for their portfolio/personal record. The form must be completed for each of a teacher's first three (3) years. (Please type or print.
Make additional copies of this form as needed.) This form is a w orksheet to be completed and retai ned by the school district. DO NOT return

this form to the Michigan Department of Education.

NAME OF TEACHER

Karen Wilfong

SOCIAL SECURITY NUMBER OF TEACHER

NAME OF SCHOOL DISTRICT WHERE EMPLOYED

NAME OF SCHOOL WHERE ASSIGNED

Jefferson International Academy

Jefferson International Academy

NUMBER OF YEARS AS A CONTRACTUAL TEACHER (1st, 2nd or 3rd)

SCHOOL YEAR HIRED

2013

NAME OF MENTOR ASSIGNED FOR THE CURRENT YEAR

NUMBER OF YEARS WITH THE CURRENT SCHOOL DISTRICT

CURRENT SCHOOL YEAR

20

- 20

Mentor's POSITION/STATUS (teacher, university faculty, retired teacher)

Mentor's EMPLOYER

DATE

Hanley Harper Group

P ROFESSI ONAL DEVEL OP MENT ACTI VI TIES/ EXP ER I ENCES

Registry of Educational Personnel (REP)
Category
(#1 for Classroom Management,
#2 for Instructio nal Delivery)
TITL E/ACTIVITY
PURPOSE/SKILL ADDRESSED

08.19.13

#2 - Instructional Delivery

08.20.13

NUMBER OF
HOURS
ENGAGED

Understanding Common Core, school

mission and vision
Prioritize Standards

5.5

#2 - Instructional Delivery

Our Vision and Mission, Common Core

State Standards
Common Core - Prioritize Standards

08.21.13

#2 - Instructional Delivery

Curriculum Crafter In-Service I

5.5

08.22.13

#2 - Instructional Delivery

Curriculum Crafter In-Service II

08.22.13

#1 - Classroom Management

MIStar (Student Information System)

Learning how to utilize Curriculum Crafter

Tool
Learning how to Utilize Curriculum Crafter
Tool
Utilizing Student information system

08.23.13

#2 - Instructional Delivery
#2 - Instructional Delivery

Using technology in the classroom

(Promethean Board Training)
Completing lesson planning using outline

2.0

08.26.13

Technology Integration (Promethean

Board Training)
Forms & Lesson Plans

08.27.13

DO NOT
RETURN THIS
FORM
TO
THE MICHIGAN DEPARTMENT
OFimplement
EDUCATION
#2 - Instructional
Delivery
NWEA
- MAP
Training
Learning how to
and interpret
THI S COMP LETED FORM I S TO BE RETAI NED BY MAP
THEdata
SCHOOL
into the classroom
DI STRI CT

6.0

5.5

3.0
2.0

3.5

TE-2900-26

8/07

09.27.13

#2 - Instructional Delivery

Mission & Data

Considering school mission and how to use

data to inform instructional decisions
Report Card Training

4.0

11.4.2013

#2 - Instructional Delivery

MIStar (Report Card Training)

11.5.2013

#1 - Classroom Management

MAPSA Conference (various sessions)

Seminars/workshops to improve teaching

techniques
Learning to adapt instruction to teach to
students with learning challenges or
students with IEPs
Discussion of using MAP data to inform

5.0

12.6.2013

#1 - Classroom Management

Child Study Orientation

2.3.2014

#2 - Instructional Delivery

Using Data to Inform

12/2013

#2 Instructional Delivery

EDP 735 GR Learning

0
Process

Instructional Design/Interactive
Technologies
3 X 12 weeks

36.0

4/2013

#2 Instructional Delivery

Instructional Design/Interactive
Technologies
3X 12 weeks

36.0

9/2014

#2 Instructional Delivery

I 714 G Interactive
T 0 R Course Design

36.0

4/2014

#2 Instructional delivery

IT
6110 GR
& Knowldge

36.0

12/2012

#2 Instructional delivery

IT
6140 GR
Clsrm Tools

12/2012

#2 Instructional delivery

IT
7100 GR
Smnr: I T

Instructional Design/Interactive
Technologies
3 X 12 Weeks
Dsgn Thinking Instructional Design/Interactive
Technologies
3 X 12 weeks
Dsgn Web
Instructional Design/Interactive
Technologies
3 X 12 Weeks
Intr Grad
Instructional Design/Interactive
Technologies
3 X 12 Weeks

SIGNATURE OF IMMEDIATE SUPERVISOR

SIGNATURE OF TEACHER

Karen Wilfong

715 G Eval
0 R Learning&Perfor
mnce

TITLE

3.0

5.0

4.0

36.0

36.0

Principal
DATE

DO NOT RETURN THIS FORM TO THE MICHIGAN DEPARTMENT OF EDUCATION

THI S COMP LETED FORM I S TO BE RETAI NED BY THE SCHOOL DI STRI CT

5.30.2013