ISBE Professional Development Evaluation
Please complete this form and submit it to the presenters of the professional development activity for which you are requesting credit.  This form is an electronic version of ISBE 77-21A (6/14) provided by the Illinois State Board of Education, Educator Licensure Division, 100 North First Street, S-306, Springfield, IL  62777-0001.
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Provider:  Illinois Council on the Teaching of Foreign Languages (ICTFL)
Were you an ATTENDEE or PRESENTER at this event? *
Check the appropriate box.  If you check PRESENTER, you must complete an additional ISBE Provider form.  (Link to Presenter PD will be provided upon submission of this form.  It is also available on the ICTFL website at www.ictfl.org)
Required
Your Name *
Please provide your first and last name
Please provide your ISBE Ilinois Employee Identification Number (IEIN)
Date of Activity *
MM
/
DD
/
YYYY
Name of Provider *
Location of Event *
Facility, City, State
Name of Event *
Identify those statements that directly apply to this professional development. *
Check all that apply
Required
A.  The outcomes of this professional development were clearly identified as the knowledge and/or skills that I should gain as a result of my participation. *
Check the number (4 to 1) that best describes how you feel about your experience as it relates to the statement above.
B.  This professional development will impact my professional growth or student growth in regards to content knowledge or skills, or both. *
Check the number (4 to 1) that best describes how you feel about your experience as it relates to the statement above.
Indicate the outcome(s) of this professional development. *
Check all that apply
Required
C.  This professional development will impact my social and emotional growth or student social and emotional growth. *
Check the number (4 to 1) that best describes how you feel about your experience as it relates to the statement above.
D. Overall, the presenter appeared to be knowledgeable of the the content provided.   *
E. The materials and presentation techniques utilized were well-organized and engaging. *
Check the number (4 to 1) that best describes how you feel about your experience as it relates to the statement above.
F. The professional development aligned to my district or school improvement plans. *
Write the number (4 to 1) that best describes how you feel about your experience as it relates to the statement above.
Attendee or Presenter Email *
Please provide the same email used by this organization to communicate with you.
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