INSTRUCTIONS: Use this form when writing your PDP.
Wisconsin Department of Public Instruction
PDP WRITING FORM AND CHECKLIST
PI-PDP-1 (Rev. 08-09)
Professional Development Plan (PDP) forms available at: http://dpi.wi.gov/tepdl/pdp.html
BIOGRAPHICAL INFORMATION
Educator Name
Educator Telephone Area/No.
Jacob D. Weiss
(920) 296-1212
Educator Address Street, City, State, Zip
Educator Fax Area/No.
798 Green Bay Dr. Mayville, WI
E-Mail Address
Educator File No.*
weissja@uwplatt.edu
Educator School District
Mayville School District; Mayville, WI
Current Educational Assignment
No. of Years in Current Assignment
Technology Education & Agricultrue Education-Advisor
Month/Year PDP Submitted for Goal Approval (Initial Educators Only)
Years of Educational Experience
0
1
Month/Year Plan Submitted for PDP Verification
09/2012
*Educator file numbers may be found on the DPI Educator License lookup at: http://dpi.wi.gov/tepdl/lisearch.html.
Present Licensure Stage
Licensure Category
Initial Educator
Teacher
Professional Educator
Administrator
Master Educator
Pupil Services
Date Current License Expires
6-30-
PROFESSIONAL DEVELOPMENT PLAN
Step I: Preparing to Write the Plan—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.
Step II: Writing the Plan—COMPONENTS
A. Description of School and Teaching, Administrative, or Pupil Services Situation
Mayville School District currently provides educational services to a rural student population of about 1200 students. The
community of Mayville is a highly industrialized and agriculturally based community with a current population just over 5,000.
The district and staff are committed to providing a quality educational environment and experience for the young people of Mayville
and the surrounding area. Mayville School district strives to continually improve the developed educational system that is inclusive
of students with special needs, gifts and talents, and the students with diverse ethnic and socioeconomic backgrounds.
I have recently been hired as the technology education instructor as well as the assisting agriculture instructor and advisor at
Mayville High School. The High School has a population of 510 students through grades 9-12. The certified staff is composed of
40 teachers in addition to 45 support staff members. The smaller size of the school is conductive to student success, and the
teachers, parents, and administrators work together to the goal of quality education for all students. As the instructor of technology
and agriculture education at the High School I am teaching in these departments with one other technology education instructor and
one other agriculture education instructor. I am also serving responsibilities of assisting with the advisory of the FFA. Within
these departments I am teaching three technology education courses as well as three agriculture education courses. The High
School provides a wood shop, metals shop, agriculture shop, computer drafting lab, greenhouse and two classrooms for both of the
departments of my instructional placement.
According to DPI data, Mayville High School and the District in general displays above average state achievement testing
PDP Writing Form—2009
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PROFESSIONAL DEVELOPMENT PLAN (cont’d)
th
scores. Mayville 10 graders scored about 10-15% higher than state averages on testing areas the previous fiscal school year. Just
fewer than 40% of students in the district participated in extracurricular/co-curricular academic activities during this school year.
Review Checklist for Description of School 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?
B. Description of Goal to be Addressed
It is recommended that you use this stem: I will… (research, study, learn, apply, etc.) So that… (describe what you want to see
happening differently with student learning).
I will improve my skills in preparing, developing, applying, and evaluating several learning techniques and methods into my
classroom and lab so that students will actively learn through knowledge of science, technology, engineering, and math (STEM) in
order to transition their learning into continuous engagements in learning.
Review Checklist for Description of the Goal
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?
C. Rationale for the Goal: Links to Professional Situation and Wisconsin Educator Standards
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.
By improving my skills in providing effective learning processes, my students can apply what they have learned in other
technology and agriculture courses, real life scenarios, and post-secondary education. Concentrating content knowledge around
STEM allows for the ability to align my technology and agriculture curriculum with core curriculum courses in the High School.
Improving my development of instructional activities will make me a more prepared teacher and a professional who encourages
active engagement in student learning. My goal addresses Wisconsin teacher standards #1, #4, #6. #7, #8, #9, #10. Through my
goal I will strive to focus on improving and developing within each of these standards.
Review Checklist for Rationale for the Goal
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)
D. Plan for Assessing and Documenting the Goal
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.
PDP Writing Form—2009
I will assess my professional growth of improving my skills in developing learning methods within the criteria of my goal by
becoming credible of STEM core subjects. I will take courses on STEM content within the technology and agriculture fields and
review Project Lead the Way Curriculum to reinforce this content knowledge. Requesting faculty, such as the principal, to observe
and assess my learning methods and techniques will also help me to grow professionally. Students will also assess my professional
growth by filling out surveys of my classes. I will use my developed unit/lesson plan evaluation criterion (artifact 8 of my
portfolio) to assess effective student learning. Developing communication with faculty to ensure that my former students are
applying what they learned in my classes is also a method I plan on using to assess student learning and professional growth within
my goal as well.
Review Checklist for Plan for Assessing and Documenting Achievement of the Goal
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?
E. Plan to Meet the Goal: Objectives, Activities, Timeline, and Plan for Collaboration
Note: Completion dates will be filled in during Step III as each objective/activity is completed.
OBJECTIVE 1
I will develop lessons that build upon previous lessons and units to reinforce what students have learned and assess my
development of activities for active and affective learning.
Activities
Timeline
Collaboration
I will make a Course Development Outline that
aligns with and reinforces the core curriculum
and other technology and agriculture education
curriculum of the school that is similar to the
excel document of my Course Development
Project in my online portfolio.
June 1st - August 31st ,
2012
I will meet with the two
other teachers in my
fields and the core
curriculum instructors to
align my course
curriculum with others
to fulfill my STEM goal.
I will develop a safety plan and test that will be
first priority in my lab classes and will be used
by students throughout the school year.
September 1st-September
30th , 2012
I will asign portfolios to my students that will be
collectively evaluated on student learning
through several methods/techniques.
October 1st - July , 20122013
I will assess the
labrotary setup and
document rules and
procedures similar to my
safety management plan.
I will include
progressive assignments
on a project in the
portfolio that build upon
each other to develop a
end product.
Date Completed
OBJECTIVE 2
I will prepare for instructing and managing the classroom and lab.
Activities
Timeline
st
st
Collaboration
st
I will plan out and practice lessons and
activities.
June 1 -Sept 1 , Jan 1
Jan31st
I will prepare and test the lab for safe
operations.
June 1st-Sept 1st, Jan 1st
Jan31st
PDP Writing Form—2009
I will plan lessons to fit
into the appropriate
length according to my
Course Development
Outline
I will test each piece of
equipment and make the
necessary maintenances
to ensure a safe lab that
aligns with my safety
management plan.
Date Completed
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PROFESSIONAL DEVELOPMENT PLAN (cont’d)
OBJECTIVE 3
I will transition my students to and from lessons, units, class, and secondary education.
Activities
Timeline
Collaboration
I will asses my students of content knowledge of
the classes they are taking.
first wk of every class
I will hand out an exam
that does not count as a
grade covering the
content I will teach in
each class.
I will question my students formally and
informally.
Sept 1st - June, 2012-2013
I will ask questions to
my students as a whole
and individually to
analyze their knowledge
and understanding of the
content of the class.
Questioning will also be
part of every lesson and
various collaborations
throughout the semester.
I will review previous topics and lessons and
indicate the relevance toward current subject
matter.
Sept 1st - June, 2012-2013
I will explain how
previous subject are
related to and will be
used in current and
future topics to gain
perception and
understanding of the
relevance of each topic
within my students.
I will explore career clusters with my students.
May-June, 2013 and 2014
I will research desired
careers of my students to
furthur the preparement
of transitioning beyond
high school.
I will meat with other faculty to gain
understanding of student's content knowledge
and the content being taught in their classes.
once per quarter
Collaborate with faculty
within the school to
asses individual and
student group content
knowledge and the
content being taught in
their classes.
PDP Writing Form—2009
Date Completed
PI-PDP-1
Page 5
OBJECTIVE 4
I will assess my students affective learning through formal and informal application.
Activities
Timeline
Collaboration
I will research and develop rubrics that
exemplify achievement and student fulfillment.
Sept 1st - Sept 31st , 2012
I will attended classes on assessing student
progress.
June 1st - August 31st ,
2012
I will assess students daily on participation and
callaboration with other students, as well as
following safe practices.
Sept 1st - June , 2012-2013
I will grade my students
on active participation
and callaboration by
applying daily
participation grades of
10points for each
class/lab.
I will test for STEM knowledge in my students
Once per quarter
I will test my students
with an exam that covers
the basics of STEM in
relation to the class
I will asign projects that reinforce what students
have learned in previously related lessons at the
end of each unit
Oct 1st - June, 2012-2013
I will evaluate and
assess student
application of content
knowledge by assigning
a unit project for each
unit of study in the class.
Date Completed
I will research PLTW
rubrics and fellow
faculty rubrics and
develop my own based
on the collaboration with
my students.
OBJECTIVE 5
I will grow professionally through developing learning methods and actively engaging my students in learning.
Activities
Timeline
st
Collaboration
st
I will attend professional development sessions
and/or classes.
June 1 - August 31 ,
2013
I will show responsibility for my position as an
educational instructor at the secondary level.
June 1st - July, 2012-2013
-always on time or early
-conserve the well being
of the student body
-active community
member
-encourage active and
affective learning
-inclusive of all students
-willingness to help and
spend extra time with
students
I will serve as a romodel to my students, faculty,
and the community.
June 1st - July, 2012-2013
I will always act in a
way that reflects my job
as a high school teacher.
I will continually learn about and improve my
skills in developing instructional strategies to
acquire students to actively engage in learning
June 1st - July, 2012-2013
I will seek new methods
and techniques in
teaching by building on
my professionalism in
ways exhibited among
PDP Writing Form—2009
Date Completed
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PROFESSIONAL DEVELOPMENT PLAN (cont’d)
my fellow faculty and
other educators across
the state.
I will anually attend the WTEA conference.
Spring of every year
-collaborate and network
with other educators
Review Checklist for Objectives, Activities, Timeline, and Plan for Collaboration
1. Objectives
Did you include objectives that directly address the goal?
Did you include objectives that are observable and verifiable?
2. Description of Activities and Timelines
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?
3. Plan for Collaboration
Did you include collaboration with others in your plan?
Initial educators must submit Step II, A-E, to a PDP Team for Goal Approval.
Step III: Annual Review of the 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.

Professional Educators must complete a five-year plan with three annual reviews.
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.
Reflection (Year 2)
Revision (if needed)
Date:
Date:
Reflection (Year 3)
Revision (if needed)
Date:
Date:
Reflection (Year 4)
Revision (if needed)
Date:
Date:
PDP Writing Form—2009
PI-PDP-1
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Review Checklist for Annual Review
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)
Step IV: Documentation of Completion of the 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.
A. Evidence of Professional Growth and the Impact of Professional Growth on Student 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.
4.
5.
Review Checklist for Evidence of Completion of Your Plan
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?
B. Reflection and Summary



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.
Review Checklist for Summary and Reflection Statement
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?
C. Submitting the Completed PDP for Plan Verification
Submit your completed PDP including your 3-5 pieces of labeled evidence to a PDP Team no later than January 15
of the final year of the plan. If you are an Initial Educator, include a copy of your signed Goal Approval Signature
Form(s).
PDP Writing Form—2009
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PROFESSIONAL DEVELOPMENT PLAN (cont’d)
PDP Writing Form—2009