ࡱ> bda#` bjbjmm 4J+r (((8)DF)@))*** - - -???????$Ah'D?2,| -22?**? 4 4 4248**? 42? 4 4n;K<*) 0y(N2:b< =?0@<DD2`D@<D< -. 4.;/ - - -??3" - - -@2222((DB,n TENNESSEE ACADEMY for SCHOOL LEADERS REQUEST FOR PROGRAM APPROVAL July 1, 2008-June 30, 2009 This document is a template. Complete the application and save it to your desktop as a Microsoft Word file. A. GENERAL INFORMATION Program Coordinator: _________________________ Telephone (_____) ___________ E-mail address: ______________________________________________________________ System or Organization: _______________________________________________________ Address: ___________________________________________________________________ Signature of Director of Schools (LEA)/Executive Director (Organization): ___________________________________________________________________________ In order for the Tennessee Academy for School Leaders to properly facilitate the approval process, all applications requesting TASL Credit approval must be submitted at least 60 days prior to the event. The TASL Office will respond to the application within two (2) weeks of receipt, providing 45 days to advertise the event as offering TASL credit. Organizers may not advertise TASL credited until official approval has been granted. Event TitleDate(s)Hours RequestedSite   Does the event have open registration? Yes, please post to the TASL website  SHAPE \* MERGEFORMAT  No, please do not post.  Return the completed forms to: Tim Gaddis, TASL Director Tennessee Department of Education 5th Floor, Andrew Johnson Tower 710 James Robertson Parkway Nashville, TN 37243-0376 (615) 532-6205 (office) (615) 532-8312 (fax) B. PROFESSIONAL DEVELOPMENT APPLICATION 1. Event Description Name of event: Box will expand to fit text.  Which Tennessee Instructional Leadership Standards (TILS) will be addressed? (See Attachment A for full list of TILS.) Box will expand to fit text.  What is the duration of the event (hours, days and/or sessions)? Box will expand to fit text.  Attach a copy of the event agenda. (Please note: agenda must be submitted to obtain approval.) 2. Research Base What is the research base that ties the training to increased student achievement? Please cite specific references. Box will expand to fit text.  3. Evidence of Need How does this professional development relate to: the Tennessee Comprehensive System-wide Planning Process (TCSPP), the Tennessee School Improvement Plan (TSIP) of the participants, or the student achievement data of the LEA, school or organization membership? How were needs assessed? Box will expand to fit text.  4. Content Describe the content of the professional development. What academic disciplines, pedagogical processes, leadership skills, or conditions for student learning are being addressed? Box will expand to fit text.  5. Process Describe the process of the professional development. In what kinds of activities will participants engage? How do the planned activities support adult learning? Box will expand to fit text.  6. Anticipated Outcomes Describe the planned outcomes of the professional development. What knowledge, skills, or new awareness will participants gain? Box will expand to fit text.  7. Presenter / Trainer Biography or Curriculum Vitae Please attach copy to application 8. Sustainability Plan Briefly explain how you, the provider, will sustain the initiatives presented at this event? How will participants be encouraged to reflect on their learning and put new knowledge and skills to use? Box will expand to fit text.  Evaluation Process Describe the evaluation process and follow-up tool(s) you will use to measure the effectiveness of the activity. Box will expand to fit text.      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