Record of Professional Development Activities Record all in-services, courses, workshops, lectures, conferences and similar that you attend. Nursing Council requirement is a minimum of 60 hours over three years. Once this page is complete request your line manager to verify the hours Name __________________________________ Position and Department ____________________________________ Date Activity / Presenter Explain what you learnt from this activity Key issues identified Impact on practice Personal development: Key issues identified Impact on practice Personal development Hours spent Manager or educator’s comment and sign off Date Activity / Presenter Explain what you learnt from this activity Hours spent Manager or educator’s comment and sign off Key issues identified Impact on practice Personal development Key issues identified Impact on practice Personal development Key issues identified Impact on practice Personal development TOTAL HOURS: Verified by: _______________________________________________ Designation: _______________________________________ (Name and Signature) Address: _________________________________________________ Phone Number: _______________________