Wisconsin Department of Public Instruction

PDP WRITING FORM AND CHECKLIST

PI-PDP-1 (Rev. 12-13)
INSTRUCTIONS: Use tis form !en !ritin" #our PDP.
Professional Developen! Plan "PDP# fors availa$le a!% &!!p%''(pi)*i)+ov'!ep(l'p(p)&!l
,IOGRAPHICAL INFORMATION
$%ucator &ame
Hannah Pick
$%ucator 'elepone Area/No.
608-213-0967
$%ucator (%%ress Street, City, State, Zip
320 W Harrison Street
$%ucator )a* Area/No.

$-+ail (%%ress
hannahmpick@gmail.com
$%ucator )ile &o.,

$%ucator -cool District
!" #i$$le School
.urrent $%ucational (ssi"nment
Social St%$ies &eacher
&o. of /ears in .urrent (ssi"nment
0
/ears of $%ucational $*perience
1
+ont0/ear PDP -ubmitte% for 1oal (pproval "Ini!ial E(-.a!ors Onl/#
#a' 2016
+ont0/ear Plan -ubmitte% for PDP 2erification

,$%ucator file numbers ma# be foun% on te DPI $%ucator 3icense loo4up at: ttp:00%pi.!i."ov0tep%l0lisearc.tml.
Presen! Li.ens-re S!a+e Li.ens-re Ca!e+or/ Da!e C-rren! Li.ense E0pires
Initial Educator
Professional Educator
Master Educator
Teacher
Administrator
Pupil Services
6-30-2018
PROFESSIONAL DE1ELOPMENT PLAN
S!ep I% Preparin+ !o Wri!e !&e Plan2REFLECTION
Reflect and prepare to write your PDP goal in Step II. While reflection is a required step in the PDP process, recording your
reflection below is optional.

S!ep II% Wri!in+ !&e Plan2COMPONENTS
A. Description of School and Teaching, Administrative, or Pupil Services Situation
Social st%$ies teacher at !" #i$$le School (or gra$es 6 thro%gh 8. &his is m' (irst 'ear as a teacher) * pre+io%sl' s%,stit%te
ta%ght an$ st%$ent ta%ght. &he school is locate$ in a r%ral setting) a comm%nit' -ith a pop%lation o( a,o%t 2000. &he pop%lation
o( the school is ro%ghl' 1.0 st%$ents. &here are 6 st%$ents -ith special nee$s that come into m' classroom.
&he goal o( the school is to create a challenging) sa(e learning en+ironment (or the st%$ents.
Revie* C&e.3lis! for Des.rip!ion of S.&ool Si!-a!ion
Di% #ou inclu%e a %escription of #our teacin"5 pupil services5 or a%ministrative position6
Di% #ou inclu%e te number of #ears #ou ave tau"t5 been an a%ministrator5 or been in pupil services6
Di% #ou inclu%e !eter te scool is locate% in an urban5 suburban5 or rural settin"6
Di% #ou inclu%e te etnic5 special nee%s5 an% socioeconomic ma4eup of te scool population6
Di% #ou inclu%e #our buil%in" "oals0mission an%0or %istrict "oals0mission6
PDP Writing Form
Pa"e 2 PI-PDP-1
PROFESSIONAL DE1ELOPMENT PLAN ".on!4(#
,) Des.rip!ion of Goal !o $e A((resse(
It is recommen%e% tat #ou use tis stem: I *ill5 (researc5 stu%#5 learn5 appl#5 etc.) So !&a!5 (%escribe !at #ou !ant to see
appenin" %ifferentl# !it stu%ent learnin").
* -ill research an$ learn a,o%t classroom management techni/%es an$ %se them in the classroom so that st%$ent learning
-ill ,e at its greatest an$ teaching time is %tili0e$ e((icientl'.
Revie* C&e.3lis! for Des.rip!ion of !&e Goal
Di% #ou %escribe o! #our "oal !ill impact #our professional "ro!t6
Di% #ou %escribe o! #our professional "ro!t !ill ave an impact on stu%ent learnin"6
C) Ra!ionale for !&e Goal% Lin3s !o Professional Si!-a!ion an( Wis.onsin E(-.a!or S!an(ar(s
7ase% on #our reflection5 %escribe te reason for #our "oal. Describe o! #our "oal is lin4e% to #our e%ucational situation5 an%
!rite out te Wisconsin $%ucator -tan%ar%s (t!o or more) tat #ou !ill focus on to meet #our "oal.
&he reason (or m' goal is to ma1imi0e st%$ent learning) allo-ing st%$ents to learn to their greatest potential. #' goal -ill
(oc%s on stan$ar$ 2) &eachers kno- ho- to teach. !' researching an$ learning a,o%t classroom management) *3$ ,e a,le to ,e a
,etter teacher (or m' st%$ents an$ enco%rage them to think criticall') sol+e pro,lems an$ per(orm the classroom skills that the'
nee$ to ,e a,le to $o. &he secon$ stan$ar$ * -ill (oc%s on is stan$ar$ .) &eachers kno- ho- to manage a classroom. &hro%gh m'
research * -o%l$ (in$ -a's to help moti+ate st%$ents an$ -ork -ith them to e((ecti+el' interact -ith their classmates.
Revie* C&e.3lis! for Ra!ionale for !&e Goal
Does te rationale tell o! #our "oal connects to #our scool5 teacin"5 a%ministrative5 or pupil services situation6 ( Choose the
category that applies to your situation)
Di% #ou !rite out te Wisconsin $%ucator -tan%ar%s tat #ou !ill focus on to meet #our "oal6 (must select t!o or more)
D) Plan for Assessin+ an( Do.-en!in+ !&e Goal% (nticipate% (rtifacts0$vi%ence to Demonstrate Professional
1ro!t an% its Impact on -tu%ent 3earnin"
Recor% te anticipate% meto%s #ou !ill use to assess #our professional "ro!t an% te impact on stu%ent learnin". It ma# be
elpful to revie! steps III an% I2 !en !ritin" #our assessment plan as te# outline !at is necessar# !en %ocumentin" #our
complete% plan.
&o assess m' pro(essional gro-th) * intent to %se classroom sit%ations an$ re(lections to assess m' gro-th. * -ill also
compile $oc%mentation o( research * complete$ an$ present that $oc%mentation. &o check (or st%$ents learning) * -ill %se
in(ormal an$ (ormal assessments -ithin the classroom as -ell as school testing. !' looking at test scores) * -ill ,e a,le to see i(
st%$ent learning has ,een ma1imi0e$.
Revie* C&e.3lis! for Plan for Assessin+ an( Do.-en!in+ A.&ieveen! of !&e Goal
Di% #ou inclu%e in te plan te anticipate% meto%s #ou !ill use to assess #our professional "ro!t6
Di% #ou inclu%e in te plan te anticipate% meto%s #ou !ill use to assess te impact on stu%ent learnin"6
E) Plan !o Mee! !&e Goal% O$6e.!ives7 A.!ivi!ies7 Tieline7 an( Plan for Colla$ora!ion
&ote: .ompletion %ates !ill be fille% in %urin" -tep III as eac ob8ective0activit# is complete%.
O,8ECTI1E 9% Ma0ii:e s!-(en! +ro*!& an( 3no*le(+e an( assess !&eir 3no*le(+e forall/ an( inforall/)
A.!ivi!ies Tieline Colla$ora!ion Da!e Cople!e(
&r' a ne- instr%ctional approach 1 'ear 4earning comm%nit')
meet -ith mem,ers o(
P5&

"hange st%$ent instr%ction a(ter anal'0ing $ail'
progress
1 'ear
#eet -ith accomplishe$ e$%cation person to
share kno-le$ge -ith
1 'ear #eet -ith colleag%es
reg%larl' to gather i$eas

tten$ a class on assessment 1 'ear
PDP Writing Form
PI-PDP-1 Pa"e 3

O,8ECTI1E ;% ,roa(en / 3no*le(+e in !&e fiel( of so.ial s.ien.e an( &is!or/)

A.!ivi!ies Tieline Colla$ora!ion Da!e Cople!e(
6ea$ ,ooks a,o%t historical e+ents 2 'ears 4i,rar' personnel
tten$ con(erence on social st%$ies or histor' 2 'ears



O,8ECTI1E <

A.!ivi!ies Tieline Colla$ora!ion Da!e Cople!e(





O,8ECTI1E =

A.!ivi!ies Tieline Colla$ora!ion Da!e Cople!e(





O,8ECTI1E >

A.!ivi!ies Tieline Colla$ora!ion Da!e Cople!e(





Revie* C&e.3lis! for O$6e.!ives7 A.!ivi!ies7 Tieline7 an( Plan for Colla$ora!ion
9) O$6e.!ives
Di% #ou inclu%e ob8ectives tat %irectl# a%%ress te "oal6
Di% #ou inclu%e ob8ectives tat are observable an% verifiable6
PDP Writing Form
Pa"e 9 PI-PDP-1
PROFESSIONAL DE1ELOPMENT PLAN ".on!4(#
;) Des.rip!ion of A.!ivi!ies an( Tielines
Di% #ou ali"n #our activities !it #our "oal an% ob8ectives6
Di% #ou e*ten% te activities trou" multiple #ears of te licensure c#cle6
Di% #ou state a timeline for completin" te activities6
<) Plan for Colla$ora!ion
Di% #ou inclu%e collaboration !it oters in #our plan6
S!ep III% Ann-al Revie* of !&e PDP
(nnual revie!s are %one in #ears t!o5 tree5 an% four an% !ill be submitte% as part of #our complete% plan in te last #ear of #our
licensure c#cle.
Return to -tep II $ an% enter completion %ates for eac activit# complete%.
Write a reflection in #ear t!o summari:in" te pro"ress ma%e to!ar%s completin" #our "oal.
In%icate5 in #our reflection5 o! #ou "re! professionall# an%0or o! #our professional "ro!t a% an impact on stu%ent learnin".
Write an# revisions to #our ob8ectives or activities in te revision area.
Return to tis step annuall# until #our PDP is complete an% rea%# to be submitte% for verification.
+a# complete a 35 95 or ; #ear plan. <ne annual revie! is re=uire% for a tree-#ear plan5 t!o annual revie!s are re=uire% for a
four-#ear plan5 an% tree annual revie!s are re=uire% for a five-#ear plan.
Refle.!ion "?ear ;# Revision (if needed)
Da!e% Da!e%

Refle.!ion "?ear <# Revision (if needed)
Da!e% Da!e%

Refle.!ion "?ear =# Revision (if needed)
Da!e% Da!e%

Revie* C&e.3lis! for Ann-al Revie*
Di% #ou inclu%e in #our reflection o! #ou "re! professionall# an%0or o! #our professional "ro!t a% an impact on stu%ent
learnin"6
Di% #ou inclu%e an# revisions to #our ob8ectives or activities6
Di% #ou fill in completion %ates for activities6 (refer to -tep II $ of #our plan)
PDP Writing Form
PI-PDP-1 Pa"e ;
S!ep I1% Do.-en!a!ion of Cople!ion of !&e PDP
Your PDP must include 3-5 artifacts and supporting evidence that document professional growth and the impact of professional
growth on student learning. Number and label each artifact (i.e., 1. Student test score analysis). You may use a single artifact that
focuses solely on professional growth or the impact on student learning as long as your completed plan includes both types of
documented evidence. When attaching artifacts, include the number and label entered below.
A) Evi(en.e of Professional Gro*!& an( !&e Ipa.! of Professional Gro*!& on S!-(en! Learnin+
Number and label each artifact.
Indicate whether each artifact documents professional growth, the impact on student learning, or both.
Describe each artifact identifying what is documented and the relationship of the artifact to the goal identified in Step IIB.
1.
2.
3.
2.
..
Revie* C&e.3lis! for Evi(en.e of Cople!ion of ?o-r Plan
Di% #ou provi%e tree to five artifacts an% supportin" evi%ence6
Di% #ou %escribe o! #our artifacts an% supportin" evi%ence %ocument #our professional "ro!t6
Di% #ou %escribe o! #our artifacts an% supportin" evi%ence %ocument te impact on stu%ent learnin"6
,) Refle.!ion an( S-ar/
Describe how you grew professionally in the Wisconsin Educator Standards identified in your PDP.
Describe in detail the impact of your professional growth on student learning.
Describe how you collaborated with others while working on your PDP.

Revie* C&e.3lis! for S-ar/ an( Refle.!ion S!a!een!
Di% #ou %escribe o! #ou "re! professionall# in te Wisconsin $%ucator stan%ar%s i%entifie% in #our plan6
Di% #ou %escribe te impact of #our professional "ro!t on stu%ent learnin"6
Di% #ou %escribe o! #ou collaborate% !it oters6
C) S-$i!!in+ !&e Cople!e( PDP for Plan 1erifi.a!ion
S-$i! /o-r .ople!e( PDP in.l-(in+ /o-r <@> ar!ifa.!s an( s-ppor!in+ evi(en.e !o a PDP !ea in !&e final /ear
of !&e plan)
PDP Writing Form