Professional Development Activity/Plan Template
Use this form to create a facilitator guide for a professional development activity. It is patterned after the format
used with the Build and Deliver Modules. This will primarily be of value to you for an opportunity with your
identified Potential Educator Audience, so it can be aimed at a very small group or a larger one, depending on
your needs or context. However, keep in mind that this should be clear and complete enough that another
facilitator can easily use it in another educational setting. We will post this on our website so others can benefit,
both locally and across the TPS consortium.
Your Name: ___________
School or Institution: _____________
Projected Date for Implementation: ____________
Title of
Activity
Overview
Replace type Brief title that reflects your theme or content focus.
Essential or
Investigative
Question
Replace type Pose a guiding question related to your chosen topic or theme that participants
will explore during your workshop. [this can be content-related “how did various perspectives
on the transcontinental railroad influence…?” or strategy focused: “how can teachers use
visuals to promote reading skills?”]
A. Replace type Provide a brief description of your PEA (potential educator audience)
Audience
Replace type 25- to 35-word summary of the activity that will help a potential facilitator
know whether they are interested in it or not.
B. More formal description of audience
This activity is best suited for educators of the following grade levels Highlight those that are
applicable: Grades K-2; Grades 3-5; Grades 6-8; Grades 9-12
This activity is best suited for educators of the following content areas - Highlight those that
are applicable: English Language Arts, Social Studies, English as a Second Language, Library
Media, Reading, Science, Math, Art, Music, World Languages, Cross disciplinary, Health,
Physical Education (PE), Exceptional Needs, Career and Technical, other (list)
Time
Required
Goal
Objectives
Digital
Resources
Updated 5/28/15
Replace type Estimate how long (hours or minutes) this PD activity will take to implement
with your target audience. (e.g. 5 thirty-minute coaching sessions; 2 hours facilitated workshop
format)
Replace type This is your broad statement of what the activity intends to accomplish,
expressed in general terms (e.g., develop inquiry skills, understand primary sources, and teach
with primary sources.)
Replace type Describe 1-4 desired learner (educator) outcomes in precise, measurable, and
obtainable terms. Use TPS Level One framework as a guideline.
Use this section to link to the primary sources, handouts, documents, and web sites that will be
used.
Primary sources:
 Title, Date created/published, Creator/Author
 URL
Other resources:
 Title, Date created/published, Creator/Author
 URL
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Classroom
Materials
List any necessary classroom materials or equipment here. (e.g. flip chart, projector, etc.)
Preparation
Replace text Detail what facilitator (including yourself!) needs to prepare PRIOR to beginning
the activity with the participants.
For example:
 necessary background material to read
 preparation of handouts and materials for activities
 room arrangement, including flip chart, projector/screen preparing items to display on
screen or projector
Replace text Number and list the exact steps the facilitator will follow DURING the facilitation
of the activity.
 Remember to include model strategies to be used with students.
 Use a new number for each new step. Bulleted sub-steps may be included under a
numbered item.
 Make each step a distinct task – a directive.
 Write procedures as concisely as possible using clear, direct language.
Replace text How will know your audience of educators have successfully reached the
objectives? Make sure the assessment/reflection is clear and realistic for adult learners. If a
checklist, survey or other tool will be used, it should be included.
Procedure
Assessment/
Reflection
Updated 5/28/15
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