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Record of Professional Development/Trip Report (Form FE-1)
Instructions:
  1. Upon completion of activity, complete this form and click “Click here to send as Email”. Form will automatically be sent to a Training Coordinator. You may send a copy to yourself by entering your email address in the EMAIL** (last) field.
  2. You may consolidate related activities on one Form FE-1.
Today's Date:
First Name: Last Name:
PEID: Department Name:
Email Address: Faculty Status:
Faculty Location:    
Activity Name:
Sponsored By:
Total Hours: Activity Dates:
PD Category:
(choose only 1 category per FE-1 form)		 Campus Requirements Reimbursed Cost:
  Instructional Areas    
  PIC
(Professional Organizations Institutional Involvement Community Involvement)		    
****Examples****
Campus Requirements (2 hrs*)
  • EEOC Training
  • Fall Preservice
  • New Employee/QEP Training
  • Graduation
  • Department Meetings
 Instructional Areas (6 hrs*)
  • Content Area Conf./Workshops
  • Technology Training
  • Methodologies/Instructional Tng
 PIC (6 hrs*)
  • CTC Committee Work
  • Faculty Senate
  • TCCTA
  • Prof. Organizations
  • Community Organizations
*Full-Time Faculty Only
Please answer the following, as applicable:
  1. Briefly describe PD activity.
  2. How will this activity affect your teaching?
  3. How will this activity affect your students’ success?
Enter additional email addresses below to which you want this form sent.
Separate each email address using a semicolon and a space, for example:
john.doe@yahoo.com; jane.doe@aol.com
EMAIL**
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