Wisconsin Department of Public Instruction PDP WRITING FORM AND CHECKLIST PI-PDP-1 (Rev.

08-09)

INSTRUCTIONS: Use this form when writing your PDP.

Professional Development Plan (PDP) forms available at: http://dpi.wi.gov/tepdl/pdp.html BIOGRAPHICAL INFORMATION E ucator !ame E ucator "elep#one Area/No.

Dave Daino
E ucator $ ress Street, City, State, Zip

(267) 566-2581
E ucator %a& Area/No.

325 S. Hickory, Platteville, WI, 53818

E-'ail $ ress

E ucator %ile !o.(

Dainod@uwplatt.edu
E ucator )c#ool District

Whitefish Bay School District

*urrent E ucational $ssi+nment !o. of ,ears in *urrent $ssi+nment ,ears of E ucational E&perience

Physical !"catio#
Month/Year PDP Submitted for Goal Approval (Initial Educators Only)

2
Month/Year Plan Submitted for PDP Verification

Present Licensure Stage Initial Educator Professional Educator Master Educator Licensure Categor Teacher Administrator Pupil Services

Date Current License E!"ires

*Educator file numbers may be found on the DPI Educator License lookup at: http://dpi.wi.gov/tepdl/lisearch.html.

6-30- 2017

PROFESSIONAL DE#ELOPMENT PLAN

Ste" I$ Pre"aring to Write t%e P&an'REFLECTION

Reflect and prepare to write your PDP goal in Step II. While reflection is a required step in the PDP process, recording your reflection below is optional.

Ste" II$ Writing t%e P&an'COMPONENTS A. Description of School and Teaching, Administrative, or Pupil Services Situation WI$$S %ata I &ill 'e teachi#( )hysical e!"catio# at White*ish +ay. I have 'ee# a teacher *or t&o years. ,he school I a- teachi#( at is a s"'"r' o* Wisco#si# that is ./ 0-erica# I#!ia#, 5.7/ 0sia#, 1..5/ +lack, 3.1/ His)a#ic, ..1/ Paci*ic Isle, 77.2/ White a#! 2.6/ are ,&o or -ore. White*ish +ay school !istrict has 3,.17 st"!e#ts a#! o"t o* the- 7.5/ o* the st"!e#ts have !isa'ilities a#! 12.5 are &itho"t a#y !isa'ilities. ,his school !istrict is i# a hi(her e#! s"'"r' a#! o#ly has 2.6/ o* the st"!e#ts at eco#o-icall at a !isa!va#ta(e a#! 17.2/ are at #o !isa!va#ta(e. Re(ie) C%ec*&ist +or Descri"tion o+ Sc%oo& Situation
Did you include a description of your teaching, pupil services, or administrative position? Did you include the number of years you have taught, been an administrator, or been in pupil services? Did you include whether the school is located in an urban, suburban, or rural setting? Did you include the ethnic, special needs, and socioeconomic makeup of the school population? Did you include your building goals/mission and/or district goals/mission?
PDP Writing Form2009

Pa+e PROFESSIONAL DE#ELOPMENT PLAN ,cont-./

PI-PDP-1

B0

Descri"tion o+ Goa& to 1e A..resse.

It is recommended that you use this stem: I will2 (researc#. stu /. learn. appl/. etc.) So t%at2 ( escribe 0#at /ou 0ant to see #appenin+ ifferentl/ 0it# stu ent learnin+).

I &ill research a#! i-)le-e#t i#str"ctio#al strate(ies so that the st"!e#ts "#!ersta#! the 'e#e*its o* Physical e!"catio# class.

Re(ie) C%ec*&ist +or Descri"tion o+ t%e Goa&

Did you describe how your goal will impact your professional growth? Did you describe how your professional growth will have an effect on student learning?

C0

Rationa&e +or t%e Goa&$ Lin*s to Pro+essiona& Situation an. Wisconsin E.ucator Stan.ar.s
Based on your reflection, describe the reason for your goal. Describe how your goal is linked to your educational situation, and write out the Wisconsin Educator Standards (two or more) that you will focus on to meet your goal.

White*ish +ay school !istrict 'elieve i# the &hy 'ehi#! &hat the st"!e#ts are lear#i#( so I 'elieve it is i-)orta#t to )rove to the st"!e#ts &hy they have (y- class a#! ho& yo" &ill carry this e!"catio# &ith yo" thro"(ho"t yo"r &hole li*e. It3s i-)orta#t *or -y st"!e#ts to "se -ove 'a#!s, )e!o-eters a#! other *or-s o* tech#olo(y that (ives the- *acts a#! i#*or-atio# a'o"t the -ove-e#t they have thro"(ho"t yo"r !ay. ,his really sho&s the- ho& to stay healthy a#! live a healthy li*e style 'eca"se it sets (oals *or the- to achieve. Re(ie) C%ec*&ist +or Rationa&e +or t%e Goa&
Does the rationale tell how your goal connects to your school, teaching, administrative, or pupil services situation? ( Choose the category that applies to your situation) Did you write out the Wisconsin Educator Standards that you will focus on to meet your goal? (must select two or more)

D0 P&an +or Assessing an. Docu3enting t%e Goa&

Record the anticipated methods you will use to assess your professional growth and the effect on student learning. It may be helpful to review steps III and IV when writing your assessment plan as they outline what is necessary when documenting your completed plan.

0 &ay that I co"l! access -y )erso#al (ro&th &o"l! 'e &orki#( &ith coo)erati#( teachers a#! have the- (ive their st"!e#t -ove 'a#!s a#! heart rate a#! )e!o-eters a#! the# co-)are the ele-e#tary, -i!!le a#! hi(h school ki!s statistics all to(ether a#! kee) a# o#(oi#( stat sheet to &atch the &ay ki!s (ro& i# !i**ere#t &ays. Re(ie) C%ec*&ist +or P&an +or Assessing an. Docu3enting Ac%ie(e3ent o+ t%e Goa&
Did you include in the plan the anticipated methods you will use to assess your professional growth? Did you include in the plan the anticipated methods you will use to assess the effect on student learning?

E0 P&an to Meet t%e Goa&$ O14ecti(es5 Acti(ities5 Ti3e&ine5 an. P&an +or Co&&a1oration
Note: Completion dates will be filled in during Step III as each objective/activity is completed .
OB6ECTI#E 7

4esearch 5ra#ts
Acti(ities Ti3e&ine Co&&a1oration Date Co3"&ete.

6o#ve#tio# o# 5ra#t &riti#( 9ook ") !i**ere#t 5ra#ts 7i#! 5ra#t Writter

7all 2.13 7all 2.13 7all 2.13

8ther P ,eachers 8ther P ,eachers 8ther P ,eachers

7ill i# 7ill i#

PDP Writing Form2009

PI-PDP-1 OB6ECTI#E 8

Pa+e 1

Search !i**ere#t e:"i)-e#t

Acti(ities Ti3e&ine Co&&a1oration Date Co3"&ete.

5o)her ;a(. Search the &e! 6heck o"t other Schools

OB6ECTI#E 9

7all 2.13 7all 2.13 7all 2.13

8ther ,eacher ;ysel* 8ther ,eacher

7ill i# 7ill i#

Acti(ities Ti3e&ine Co&&a1oration Date Co3"&ete.

OB6ECTI#E :

Acti(ities Ti3e&ine Co&&a1oration Date Co3"&ete.

OB6ECTI#E ;

Acti(ities Ti3e&ine Co&&a1oration Date Co3"&ete.

Re(ie) C%ec*&ist +or O14ecti(es5 Acti(ities5 Ti3e&ine5 an. P&an +or Co&&a1oration
70 O14ecti(es Did you include objectives that directly address the goal? Did you include objectives that are observable and verifiable?

PDP Writing Form2009

Pa+e 2 PROFESSIONAL DE#ELOPMENT PLAN ,cont-./

PI-PDP-1

80 Descri"tion o+ Acti(ities an. Ti3e&ines Did you align your activities with your goal and objectives? Did you extend the activities through multiple years of the licensure cycle? Did you state a timeline for completing the activities? 90 P&an +or Co&&a1oration Did you include collaboration with others in your plan?

Initial educators must submit Step II, A-E, to a PDP Team for Goal Approval. Ste" III$ Annua& Re(ie) o+ t%e PDP
Annual reviews are done in years two, three, and four and will be submitted as part of your completed plan in the last year of your licensure cycle.

Return to Step II E and enter completion dates for each activity completed. Write a reflection in year two summarizing the progress made towards completing your goal. Indicate, in your reflection, how you grew professionally and/or how your professional growth had an effect on student learning. Write any revisions to your objectives or activities in the revision area. Return to this step annually until your PDP is complete and ready to be submitted for verification.

Initial Educators may complete a 3, 4, or 5 year plan. One annual review is required for a three-year plan, two annual reviews are required for a four-year plan, and three annual reviews are required for a five-year plan. If there is a substantial change to your GOAL, you must complete and resubmit section II A-II E to a team for review and approval of the new goal. Professional Educators must complete a five-year plan with three annual reviews.

Reflection (Year 2) Date:

Revision (if needed) Date:

Reflection (Year 3) Date:

Revision (if needed) Date:

Reflection (Year 4) Date:

Revision (if needed) Date:

Re(ie) C%ec*&ist +or Annua& Re(ie)

Did you include in your reflection how you grew professionally and/or how your professional growth had an effect on student learning? Did you include any revisions to your objectives or activities? Did you fill in completion dates for activities? (refer to Step II E of your plan)

PDP Writing Form2009

PI-PDP-1

Pa+e 3

Ste" I#$ Docu3entation o+ Co3"&etion o+ t%e PDP

Your PDP must include 3-5 pieces of evidence that document professional growth and the effect on student learning. Number and label each piece of evidence (i.e., 1. Student test score analysis). You may use a single piece of evidence that focuses solely on professional growth or the effect on student learning as long as your completed plan includes both types of documented evidence. When attaching evidence, please include the number and label entered below.

A0 E(i.ence o+ Pro+essiona& Gro)t% an. t%e I3"act o+ Pro+essiona& Gro)t% on Stu.ent Learning

Number and label each piece of evidence. Indicate whether each piece of evidence documents professional growth, the effect on student learning, or both. Describe each piece of evidence identifying what is documented and the relationship of the evidence to the goal.

1. 2. 3. 2. 5. Re(ie) C%ec*&ist +or E(i.ence o+ Co3"&etion o+ <our P&an

Did you provide three to five pieces of evidence? Did you describe how your evidence documents your professional growth? Did you describe how your evidence documents the effect on student learning?

B0 Re+&ection an. Su33ar

Describe how you grew professionally in the Wisconsin Educator Standards identified in your PDP. Describe in detail the effect of your professional growth on student learning. Describe how you collaborated with others while working on your PDP.

Re(ie) C%ec*&ist +or Su33ar an. Re+&ection State3ent

Did you describe how you grew professionally in the Wisconsin Educator standards identified in your plan? Did you describe the effect of your professional growth on student learning? Did you describe how you collaborated with others?

C0 Su13itting t%e Co3"&ete. PDP +or P&an #eri+ication

Su13it our co3"&ete. PDP inc&u.ing our 9=; "ieces o+ &a1e&e. e(i.ence to a PDP Tea3 no &ater t%an 6anuar 7; o+ t%e +ina& ear o+ t%e "&an0 I+ ou are an Initia& E.ucator5 inc&u.e a co" o+ our signe. Goa& A""ro(a& Signature For3,s/0

PDP Writing Form2009