Checklist+for+Approving+Personal+PDU+Request

Course Name and Number:
Name of Participant: _ __School:__ _ __**//Date proposal received by Peer Reviewer://**__ = = Contact Information: || = = = Request approved _ Request denied __ Date __= Participant Contacted by Peer Reviewer (Date): _
 * **Focus and Rationale** || **Complete** || **Incomplete** || ** Comments** ||
 * Is the rationale clear? Is there a question, an hypothesis? ||  ||   ||   ||
 * Is there and explanation of why this problem needs to be studied? ||  ||   ||   ||
 * Is there an explanation of collaboration with colleagues and others? ||  ||   ||   ||
 * Is there an explanation of how and what data will be collected to show the question will be answered? ||  ||   ||   ||
 * Is there an explanation of how desired outcomes will be measured? ||  ||   ||   ||
 * **Study Component** ||  ||   ||   ||
 * Are multiple methods of inquiry included? ||  ||   ||   ||
 * Is there an explanation of how, what, when, where, the study will occur? ||  ||   ||   ||
 * Is there an explanation of how the participant will know the learning goal was met? ||  ||   ||   ||
 * **Evidence/Work Sample of Study** ||  ||   ||   ||
 * Does the planned work sample show how the work effectively supports essential learning? ||  ||   ||   ||
 * **Demonstration Component** ||  ||   ||   ||
 * Is there a clear plan to document the progress of the application of learning over time? ||  ||   ||   ||
 * Does the plan provide multiple opportunities for demonstration over a three (3) month period of time (minimum). ||  ||   ||   ||
 * How will the participant document on-going student progress? ||   ||   ||   ||
 * How will the participant document revisions to strategies, instruction or implementation? ||  ||   ||   ||
 * How will the participant show three (3) different ways of applying a new concept strategy, intervention or skill? ||  ||   ||   ||
 * **Evidence/Work Sample of Demonstration** ||  ||   ||   ||
 * Does the planned work sample show how the PDU impacted teaching practice? ||  ||   ||   ||
 * Does the planned work sample provide clear documentation that each part of the demonstration plan will be completed? ||  ||   ||   ||
 * Does the planned work sample show how this learning experience will be assessed? ||  ||   ||   ||
 * **Reflection Component** ||  ||   ||   ||
 * Is there a plan to discuss implications for practice? ||  ||   ||   ||
 * Is there an explanation of the process used to collect data and what data was used to guide next steps?. ||  ||   ||   ||
 * Is there a plan for opportunities to receive feedback and to respond to the feedback? ||  ||   ||   ||
 * Is there an included plan for reflecting on learning with peers? ||  ||   ||   ||
 * Is there an included plan to share learning with other colleagues? ||  ||   ||   ||
 * Is the PDU action research study replicable? ||  ||   ||   ||
 * Is there an explanation to show that someone else will be able to benefit from the learning? ||  ||   ||   ||
 * Does the planned work sample show clear documentation of the next steps that will be taken as a result of new learning? ||  ||   ||   ||
 * Does the planned work sample show support for others in sharing the learning? ||  ||   ||   ||
 * Does the work sample include questions that arose as a result of the study and demonstration work? ||  ||   ||   ||
 * Does the work sample show how successes and failures were assessed during the experience? ||  ||   ||   ||
 * Directions for changes/additions to improve the plan and /or work sample:**
 * Peer Reviewer’s Name:
 * Reason for Denial : __**

QUESTIONS TO GUIDE THE DEVELOPMENT OF A PERSONAL PDU REQUEST

 * Focus and Rationale**

 §  Is my rationale clear? How did I ask a question and state a hypothesis?  §  How did I explain why this problem needs to be studied?  §  How did I explain how I will collaborate with colleagues and others?  §  How did I indicate what data will I collect to show I answered the question?  §  How am I going to measure the desired outcomes?  ·  How did I show a written goal that includes multiple methods of inquiry?  ·  How did I articulate what I will study, when I will do the work, where this study will occur, and how I will proceed with the work?  ·  What do I plan on learning and how will I know I learned it? Does the work sample show how:  §  the work effectively supports my essential learning  §  I provided clear documentation of the completed plan of study  §  How will I document the progress of the application of my learning over time?  §  How will I document on going student progress?  §  How will I document revisions to instruction or implementation?  §  How will I show that I provided multiple opportunities for demonstration over a three (3) month period of time (minimum).  §   How will I show three (3) different ways that I’ve applied a new concept or skill in my practice? Back to DPS Professional Development page Does the work sample show how:  ·  the PDU impacted my teaching practice? <span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol;"> ·  I have provided clear documentation that I completed each part of my demonstration plan?
 * Study Component**
 * Evidence/Work Sample of Study**
 * Demonstration Component**
 * Evidence/Work Sample of Demonstration**

<span style="font-size: 10.0pt; mso-bidi-font-size: 12.0pt; font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings;"> §  How have I discussed implications for practice?
 * Reflection Component**