P D T

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PROFESSIONAL DEVELOPMENT TRAINING
T RACKING F ORM
List all professional development training, including the type and title of training, date, location and
the number of Continuing Professional Development Hours (CPE) earned.
Keep all Certificates of Training in your personal file; however, make certificates available to the
university upon request. Revise this form as necessary or create your own organizer.
Date/Location
Training Example
9-10-2010/TWU Denton Campus
Professional Development/
Hours
“Gangs in Schools”/3 CPE
Training One
Training Two
Training Three
Training Four
Training Five
Training Six
Training Seven
Training Eight
Training Nine
Training Ten
Intern’s Name (printed)
School/District
Intern’s Signature
Date
RETURN THIS FORM TO THE PROFESSIONAL DEVELOPMENT CENTER AT THE CONCLUSION OF EACH INTERNSHIP SEMESTER:
Professional Development Center
Texas Woman’s University
P. O. Box 425769
Denton, TX 76204-5769
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