INDIVIDUAL PROFESSIONAL IMPROVEMENT PROGRAM (W-686-85)
Washoe County School District
Title of Project:
Name of Group/Individual:
# of Participants:
Position:
Work Location:
Work Phone:
Email:
Is pay available for this activity?
Is credit (college, university, State Dept) available for this activity?
If the activity is a conference/workshop, attach an official conference schedule and verification that credit is not available.
Describe the Activity in Detail:
Describe How the Activity Directly Relates to Student Achievement:
Describe How the Activity is Beyond the Expected Duties of an Educator:
Check One:
Site-based Teams (PBS, RTI, IAT, Leadership, Parent Engagement)
Site-based Book Study (see Book Study guidelines)
District-level Instructional Materials/Curriculum Development Committee
Educational Conference
Content Standards: Please check all that apply. Identify by subject and number those content standards that are addressed:
Math
Science
Soc Studies
Eng/LA
Other
Strategic Plan: Identify by number the goal(s) and objective(s) addressed by this activity.
Goal(s):
Objective(s):
Dates
Teacher Contract Time
IPIP Time
Meal/Break
# of Hours
(Start Time/End Time)
(Start Time/End Time)
(Time)
(excluding breaks)
Total Instructional Hours
(15 hours/credit)
_______________________________________
Signature of Applicant
_______________________________________
Signature of Inservice Coordinator
Return Application to:
Application Available at:
Date: 12/1/12, Rev. I
Location
Number of Credits Requested:
______________________________________________
Signature of Principal/Administrator
Approved
Denied
______________
Date
_____________________________
Date of Applicant Notification
Department of Professional Learning, 1150 Matley Lane, Reno NV 89502 or fax to 333-5097
http://www.washoe.k12.nv.us/staff/inservice-information
SDD-F004
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INDIVIDUAL PROFESSIONAL IMPROVEMENT PROGRAM
CHECKLIST
The Individual Professional Improvement Program (IPIP) is designed to recognize that many non-credit activities enhance
the effectiveness of the professional educator. Current certified employees who plan to participate in professional growth
activities that do not issue credit or pay (ex: site-level curriculum meetings), may apply for IPIP inservice credit prior to
beginning the activity. A total of twenty IPIP credits may be earned during one's career.
THE FOLLOWING GUIDELINES APPLY:
_____ 1. Verification that credit or pay for this activity is not available through ANY means. Forms of verification
include official documents, pamphlets, or flyers.
_____ 2. The activity is a minimum of fifteen (15) instructional hours per one credit and the dates/times for instruction are
clearly indicated. (If activity is a seminar or workshop, attach a pamphlet or flyer showing dates and times.)
_____ 3. The activity is scheduled outside the participant's regular workday, unless Request for Leave form (without
pay) is attached.
_____ 4. To ensure approval, applications need to be submitted 15 days prior to the beginning of the activity to:
Department of Professional Learning
1150 Matley Lane, Reno NV 89502
Fax: 333-5097
In the event of unusual circumstances, individuals may apply up to one year after activity completion date.
However, if approved, it will be effective as of approval date. Because some activities are not approved, it is
recommended that you apply prior to the activity to be sure that credit will be granted.
_____ 5. The activity matches one of the approved categories, is directly related to student achievement and is beyond the
expected duties of an educator.
_____ 6. The application is complete and signed by both the applicant and his/her supervising administrator.
_____ 7. The activity is scheduled for completion within 12 calendar months.
_____ 8. After the activity, all paperwork is completed properly and returned within 3 weeks, including a brief summary
of the activity.
_____ 9. After the seminar/conference/workshop, there is verification of hours of attendance. Verification includes
certificates of completion or similar documentation.
NOTE:
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Activities NOT approved for IPIP credit include: online courses (unless facilitated by an approved WCSD
trainer), correspondence courses, independent study courses, courses held outside of the country, or courses
that involve travel as part of the activity.
Pay is not available for instructors, applicants or participants.
A maximum of 3 credits is allowed per application. A maximum of 6 credits may be earned by an employee
in one school year.
Upon approval, the applicant will be notified and forms will be sent with further instructions.
IPIP credits meet requirements for recertification and salary movement.
One activity per application is allowed. Applicant may not combine hours from different types of activities.
It is the participant’s responsibility to keep track of the total number of IPIP credits earned in one’s career.
Refer to SDD-G005 for IPIP Book Club Policies.
Department of Professional Learning, Matley Lane
Inservice Department
(775) 353-6947
Fax: (775) 333-5097
Email: ethomas@washoeschools.net
Date: 12/1/12, Rev. I
SDD-F004
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