MyPGS Training Request Form for Schools

Name of Person Completing the Form
Email
School
Under the current FLDOE Professional Learning Standards, to be eligible for in-service credit, professional learning must:

- be supported by needs assessment data related to staff professional performance and/or student academic performance
- include clear learning goals for participants
- include specific implementation components to be completed during and following the session (at the participants work site)
- include an evaluation of the impact the new learning/skills had on staff and student performance
Course Title
Create myLearning Course

Create myLearning Course Yes, I want an Integrated myLearning/Canvas Course No
Course Description: Please describe the content of this course.
Credit Hours

Total credit hours should not reflect lunch or breaks. Professional Learning offering additional points over the seat time hours, MUST document follow-up work/implementation commensurate with the points offered (e.g. 8 credits for 6 hours of seat time and 2 hours of additional follow-up/implementation work = 8 credit hours).
Credit Hours
Must be between 1 and 2 digits. Currently Entered: 0 digits.
Participants are expected to engage in one hour of learning for every point earned.
Credit Type: Ed Leadership, ESE, & Read 40 points need to meet specific criteria and be included in the course description. This will be reviewed and approved by district level directors.

Credit Type: Ed Leadership, ESE, & Read 40 points need to meet specific criteria and be included in the course description. This will be reviewed and approved by district level directors. In-Service Ed Leadership ESE Read 40
When planning this learning, what determined the need for this offering?
What priority initiative(s) does this professional learning activity most connect to?

What priority initiative(s) does this professional learning activity most connect to? High Impact Instruction Data Driven Decisions Collaborative Culture School Safety Community Engagement & Involvement Operations Talent Management Technology and Innovation
Specific Objectives: What will participants know, understand, & be able to do based on the professional learning offering?
The participants will
Implementation Activities:

Select one option from the drop-down choices and then describe how participants will engage in learning and receive feedback from trainers on their performance during and/or after this professional learning opportunity. What follow-up work will participants will be expected to complete and how they will reflect on the impact of the new learning.
Implementation Activity: (select one)
Describe the Implementation Activities:
Evaluation of Impact on Staff and Students

Select one evaluation method for students and one for staff. Then describe how you will assess the impact of the training on student performance AND participant practices.
Student Evaluation Activity: (select one)
Staff Evaluation Activity: (select one)
Evaluation Activities Description:
Scientific/Research Based: Describe the research support for this training and how it connects to/supports the districts priorities.
Prerequisite(s)/Notes:
Audience: Who is this training for? Please list specific schools, job titles etc. If it is for whole staff, please state whole staff.
Will staff that attend this professional learning offering be provided pay from Title 1 funds (including Part A, UniSIG, SIG4, SIG-R or TSSSA)

Will staff that attend this professional learning offering be provided pay from Title 1 funds (including Part A, UniSIG, SIG4, SIG-R or TSSSA) Yes No
Which funding source is going to be used to pay participants for this professional learning opportunity?
What type of pay will participants receive for attending this professional learning opportunity?

What type of pay will participants receive for attending this professional learning opportunity? Stipend Pay Hourly Pay
Important Information, please read...
1. All Title 1 Part A funded professional learning will be paid at the stipend rate. Please make sure to send the completed MIS 524 with original signatures to Finance-Grants after the training for payments to be processed. Copied or scanned MIS 524 forms will not be accepted. 2. A principal signature is required for final approval of this Mach form. There is an option to save and resume if a principal is not available at this time. 3. Ensure that the instructor listed for the course includes the person delivering the training as well as a school-based person. This school-based person will be responsible for entering attendance as well as marking course completion (which will trigger the awarding of points).
Important Information, please read...
1. The completion of this form will only create a professional learning course in myPGS. If you are paying HOURLY, you will still need to complete the Mach Form to request additional duty hours found at https://ryu.pasco.k12.fl.us/do-mform/view.php?id=320985. 2. A signed MIS 524 will be required for both stipend and hourly rate. For stipend rate, please make sure to send the completed MIS 524 with original signatures to Finance-Grants after the training for payments to be processed. For hourly rate, please make sure hours are entered into FMP and then send completed the MIS 524 with original signatures to Title 1. Copied or scanned MIS 524 forms will not be accepted. 3. A principal signature is required for final approval of this Mach form. There is an option to save and resume if a principal is not available at this time. 4. Ensure that the instructor listed for the course includes the person delivering the training as well as a school-based person. This school-based person will be responsible for entering attendance as well as marking course completion (which will trigger the awarding of points).
Allow users to enroll in multiple sections of the same course?

Allow users to enroll in multiple sections of the same course? Yes No

If you are offering the same session on multiple days, you would select "No" so people can not register for the same training multiple times.
Number of Sections Needed:

A section should be created for each time you offer the same content. If you are providing the training over multiple days, you will only create one section with multiple class times.
1
Section Title:
Contact Person: (only one)

This is the person that people would reach out to for questions about the course.
Instructors: (can be more than one)

These are the people who are facilitating the training and any additional people who will need to access the roster to mark attendance/completion.
Location: Include address and building/room number where the training will be held.
Training Date Training Date / MM / DD YYYY
Training Start Time Training Start Time : HH MM AM/PM
Training End Time Training End Time : HH MM AM/PM
If you have multiple class dates/times for this section, please provide the details below:
Max Number of Participants:

The maximum number of people allowed to register for this section.
Start of Registration Date Start of Registration Date / MM / DD YYYY

This is when people will be able to start registering for the training in myPGS.
End of Registration Date End of Registration Date / MM / DD YYYY

This is the last day that people can register for this training in myPGS.
Disable Registration

Disable Registration Yes No

If you do not want people to register for this training select "Yes". The instructor(s) will be responsible for adding the staff to the section roster if "Yes" is selected.
Wait List:

Wait List: Yes No
Release Section Date Release Section Date / MM / DD YYYY
Stipend Paid?

Stipend Paid? Yes No
2
Section Title:
Contact Person: (only one)

This is the person that people would reach out to for questions about the course.
Instructors: (can be more than one)

These are the people who are facilitating the training and any additional people who will need to access the roster to mark attendance/completion.
Location: Include address and building/room number where the training will be held.
Training Date Training Date / MM / DD YYYY
Training Start Time Training Start Time : HH MM AM/PM
Training End Time Training End Time : HH MM AM/PM
If you have multiple class dates/times for this section, please provide the details below:
Max Number of Participants:

The maximum number of people allowed to register for this section.
Start of Registration Date Start of Registration Date / MM / DD YYYY

This is when people will be able to start registering for the training in myPGS.
End of Registration Date End of Registration Date / MM / DD YYYY

This is the last day that people can register for this training in myPGS.
Disable Registration

Disable Registration Yes No

If you do not want people to register for this training select "Yes". The instructor(s) will be responsible for adding the staff to the section roster if "Yes" is selected.
Wait List

Wait List Yes No
Release Section Date Release Section Date / MM / DD YYYY
Stipend Paid?

Stipend Paid? Yes No
3
Section Title:
Contact Person: (only one)

This is the person that people would reach out to for questions about the course.
Instructors: (can be more than one)

These are the people who are facilitating the training and any additional people who will need to access the roster to mark attendance/completion.
Location: Include address and building/room number where the training will be held.
Training Date Training Date / MM / DD YYYY
Training Start Time Training Start Time : HH MM AM/PM
Training End Time Training End Time : HH MM AM/PM
If you have multiple class dates/times for this section, please provide the details below:
Max Number of Participants:

The maximum number of people allowed to register for this section.
Start of Registration Date Start of Registration Date / MM / DD YYYY

This is when people will be able to start registering for the training in myPGS.
End of Registration Date End of Registration Date / MM / DD YYYY

This is the last day that people can register for this training in myPGS.
Disable Registration

Disable Registration Yes No

If you do not want people to register for this training select "Yes". The instructor(s) will be responsible for adding the staff to the section roster if "Yes" is selected.
Wait List

Wait List Yes No
Release Section Date Release Section Date / MM / DD YYYY
Stipend Paid?

Stipend Paid? Yes No
4
Section Title:
Contact Person: (only one)

This is the person that people would reach out to for questions about the course.
Instructors: (can be more than one)

These are the people who are facilitating the training and any additional people who will need to access the roster to mark attendance/completion.
Location: Include address and building/room number where the training will be held.
Training Date Training Date / MM / DD YYYY
Training Start Time Training Start Time : HH MM AM/PM
Training End Time Training End Time : HH MM AM/PM
If you have multiple class dates/times for this section, please provide the details below:
Max Number of Participants:

The maximum number of people allowed to register for this section.
Start of Registration Date Start of Registration Date / MM / DD YYYY

This is when people will be able to start registering for the training in myPGS.
End of Registration Date End of Registration Date / MM / DD YYYY

This is the last day that people can register for this training in myPGS.
Disable Registration

Disable Registration Yes No

If you do not want people to register for this training select "Yes". The instructor(s) will be responsible for adding the staff to the section roster if "Yes" is selected.
Wait List

Wait List Yes No
Release Section Date Release Section Date / MM / DD YYYY
Stipend Paid?

Stipend Paid? Yes No
5
Section Title:
Contact Person: (only one)

This is the person that people would reach out to for questions about the course.
Instructors: (can be more than one)

These are the people who are facilitating the training and any additional people who will need to access the roster to mark attendance/completion.
Location: Include address and building/room number where the training will be held.
Training Date Training Date / MM / DD YYYY
Training Start Time Training Start Time : HH MM AM/PM
Training End Time Training End Time : HH MM AM/PM
If you have multiple class dates/times for this section, please provide the details below:
Max Number of Participants:

The maximum number of people allowed to register for this section.
Start of Registration Date Start of Registration Date / MM / DD YYYY

This is when people will be able to start registering for the training in myPGS.
End of Registration Date End of Registration Date / MM / DD YYYY

This is the last day that people can register for this training in myPGS.
Disable Registration

Disable Registration Yes No

If you do not want people to register for this training select "Yes". The instructor(s) will be responsible for adding the staff to the section roster if "Yes" is selected.
Wait List

Wait List Yes No
Release Section Date Release Section Date / MM / DD YYYY
Stipend Paid?

Stipend Paid? Yes No

MyPGS Training Request Form for Schools

MyPGS Training Request Form for Schools

Under the current FLDOE Professional Learning Standards, to be eligible for in-service credit, professional learning must:

Credit Hours

Implementation Activities:

Evaluation of Impact on Staff and Students

1

2

3

4

5