Amphitheater Public Schools
Department of Informational Technology
Verification of Professional Development
Classified Staff

Please use this form to list the staff development courses you have taken which were sponsored by the Amphitheater Technology Department. Include the date(s), time(s), number of hours, and instructor and supervisor's signature for each class.

It is the responsibility of each person to keep track of his or her staff development hours.

Name _____________________________________ School/Site _________________________________________

Name of Inservice/workshop        Date(s)               Time               Number               Instructor               Supervisor's
                                                                                                      of hours             Signature                Signature

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

_________________________  ____________   ___________  _____________  ______________  _________________

                                                                                          Total Hours Submitted_______________


Classified Employees

In accordance with the policy established by the Amphitheater Governing Board, all inservice education programs must be approved by the administration if credit toward salary is to be received. Such credit shall be granted at the rate established by the Governing Board. This stipend will be paid once annually, at the end of each school year. Insofar as possible, approval should be received prior to enrollment in the course or workshop. Professional growth payment shall be considered a benefit and all applicable policies concerning benefits shall apply. In every case, a transcript, statement, or official signature indicating successful completion of the inservice hours must be presented to the Human Resources division no later than October 1st.

You must attend courses sponsored by the Technology Department during "non compensated" times in order to receive District Inservice credit. "One unit of credit will be granted for each 15 hours of attendance at the inservice activities." A maximum of 60 units may be approved for salary credit. (Please refer to Regulation 4270 (a,b) for specific information regarding this subject.) Once you have completed 15 hours of inservice and all of the required signatures appear on this sheet, send it to the Payroll Department.

In order to receive payment for the current school year,
Payroll must receive this form no later than October 1st.