Burlington School District
Appendix B - Individual Professional Development Plan
for the Licensure Period July 1, 2010 to June 30, 2017
THIS FORM MUST BE TYPEWRITTEN
Name:
School:
Date:
Endorsements Held:
LEVEL
EXPIRATION YEAR
ENDORSEMENT NUMBER
I
II
2017
Write your IPDP on the back of this form. Your goals must address the knowledge and
performance standards of your endorsement(s) and The Five Standards for Vermont
Educators. At least one of your IPDP goals must connect to the school/district’s initiatives for
improving student learning. At least one of your IPDP goals must make a connection to at least
one of your endorsement competencies.
PLEASE FILL OUT COMPLETELY
A.I have read the Plan of Operation/Procedures for the Burlington Standards Board for
Professional Educators.
Educator’s Signature:
B. This plan was developed with the cooperation of this colleague:
Colleague Name:
C. Circle one: Level I to II
another state
Colleague Signature:
Level II to II
Level II from another Vt. LSB
Level II from
For LSB Use Only
Date Received: _______________
Board Action:
Approved
Returned for Revision
Reasons for Revision:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Board Chairperson’s Signature upon Final Approval:
Amendment Date(s): _______________
____________________
Date: _______________
Burlington School District
Appendix B - Individual Professional Development Plan
for the Period July 1, 2010 to June 30, 2017
A minimum of 2 Goals is required. The State of Vermont suggests 3 Goals.
Goal 1
Endorsement Numbers Addressed:
The five Vermont Standards listed below have principles. Define those principle that connect to your goal. Explain the connection.
LEARNING
COLLEAGUESHIP
ADVOCACY
ACCOUNTABILITY
Principle 1
PROFESSIONAL
KNOWLEDGE
Principles 2-10
Principle 11
Principle 12
Principles 13-16
Principle:
Principle:
Principle:
Principle:
Principle:
Connections to Goal:
Connections to Goal:
Connections to Goal:
Connection to Goals:
Connections to Goals:
Endorsement Competency Code 5440-____ Endorsement Title _________________________
Knowledge/Performance Standard:
Probable areas of appropriate coursework/activities/independent studies :
School/District Action Plan Initiative addressed in this goal (Must be filled in a least once in this IPDP.)
Goal 2
Endorsements Addressed:
The five Vermont Standards listed below have principles. Define those principle that connect to your goal. Explain the connection
LEARNING
COLLEAGUESHIP
ADVOCACY
ACCOUNTABILITY
Principle 1
PROFESSIONAL
KNOWLEDGE
Principles 2-10
Principle 11
Principle 12
Principles 13-16
Principle:
Principle:
Principle:
Principle:
Principle:
Connections to Goal:
Connections to Goal:
Connections to Goal:
Connection to Goals:
Connections to Goals:
Endorsement Competency Code 5440-____ Endorsement Title _________________________
Knowledge/Performance Standard:
Probable areas of appropriate coursework/activities/independent studies:
School/District Action Plan Initiative addressed in this goal (Must be filled in a least once in this IPDP.)
Burlington School District
Appendix B - Individual Professional Development Plan
for the Period July 1, 2010 to June 30, 2017
A minimum of 2 Goals is required. The State of Vermont suggests 3 Goals.
Name:
Goal 3
Date:
Endorsements Addressed:
The five Vermont Standards listed below have principles. Define those principle that connect to your goal. Explain the
connection.
LEARNING
COLLEAGUESHIP
ADVOCACY
ACCOUNTABILITY
Principle 1
PROFESSIONAL
KNOWLEDGE
Principles 2-10
Principle 11
Principle 12
Principles 13-16
Principle:
Principle:
Principle:
Principle:
Principle:
Connections to Goal:
Connections to Goal:
Connections to Goal:
Connections to Goal:
Connections to Goal:
Endorsement Competency Code 5440-____ Endorsement Title _________________________
Knowledge/Performance Standard:
Probable areas of appropriate coursework/activities/independent studies :
School/District Action Plan Initiative addressed in this goal (Must be filled in a least once in this IPDP.)