2023-2024 Clock Hour Proposal Form

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The Coupeville School District is approved by the state as a clock hour provider for staff development as long as the district follows an approval process that meets the intent of legal requirements. This clock hour proposal form should be submitted by the 20th of the month prior to the proposed training.

Clock Hour Criteria:

Clock hours may NOT be awarded for routine staff meetings—such as district, building, or area meetings within an agency, district, or building—to discuss or explain operational policies or administrative practices within the agency, district, or building; business meetings of professional associations to discuss operational policies or practices of the association; and, social hours or actual meal time.

To be eligible for clock hours the training must:

-Have an agenda submitted to the district with this form (see below)

-A sign in sheet turned in following the presentation/at the end of a training cycle

-An evaluation form completed by attendees (Online evaluations for all clock hours submissions are here: https://forms.gle/HduchKgFJCj8qWHC9)

If you have questions regarding this form please direct them to Karissa Swain at kswain@coupeville.k12.wa.us; 360-678-2404.

1. Name of applicant (and contact person, if different) *

2. Name of Training

3. Before submitting this form, applicants need to get "pre-approval" from their administrator. Please indicate below which administrator you have spoken to. *

Yes, by Geoff Kappes (CMHS)

Yes, by Leonard Edlund (CMHS)

Yes, by Dave Ebersole (CES)

Yes, By Allyson Cundiff (Special Services)

Other:

4. The clock hour proposal is directly related to (check all that apply): *

Opportunities for participants to collect and analyze evidence related to student learning professional certificate standards

School and district improvement efforts

K-12 frameworks and curriculum alignment

Research-based instructional strategies and assessment practices

Content of current or anticipated assignment

Advocacy for students and leadership, supervision, mentoring/coaching

Building a collaborative learning community

Required

5. Preferred date/time to offer (i.e.: Next half day, CMHS Staff meeting on specific date, etc.) *if there is a deadline for completing training, please indicate that here: *

6. Will the training be delivered in-person or virtually? *

In-Person

Virtually

Both

Unsure at this time

6, b. If the training will be in-person, where will it be? (If you have not yet reserved a room please describe what you will need here and if you'd like assistance reserving the space)

7. What number of clock hours are you requesting for this training? *

8. What is your maximum number of participants? *

9. What audience is the focus of the offering (i.e. All staff, secondary paraeducators ONLY, etc.)? *

11. Will the offering take place outside of work hours? *

Yes

Unsure

Please email a drafted agenda for your offering to be considered by the Professional Development Committee to kswain@coupeville.k12.wa.us and indicate your training name in the subject line.

To see an example of an agenda template, go here:

Approval Information

After submitting this form it will be sent to the District Office for review by the Professional Development Committee at the end of each month. If you are approved you will receive a confirmation email with a follow up if you requested more information or assistance reserving a space. In addition, with this confirmation email, you will receive copies of the clock hour and evaluation forms to provide to participants and a sign in sheet.
Return all of these completed forms to the District Office within a week of the event so clock hours may be assigned.

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