Appendix A - Template of CPD development action plan ERB/CPD/F1.

Please copy and paste this template into a new word document when submitting your CPD record

Name:

Job role and responsibilities:

Review of learning needs Development plan

Date Ref In what area do I How does this link to What do I need What will I do What are the How will I What are my
need to improve my
other objectives (eg to learn in to achieve likely resources evaluate a deadlines for
performance?
employer, ERB, etc)? order to achieve this? and support that successful meeting this
this? I will need? outcome? target?
Appendix B - Template of CPD personal development record ERB/CPD/F2.0
Please copy and paste this template into a new word document when submitting your CPD record

Name:

Job role and responsibilities:

Development activity Evaluation

Details of CPD Dates Effective learning Dev. Plan ref. Key Learning Points Key Further comments:
time
activity Benefits/Value Was the plan successful?
added How can I improve it in future?

ERB/CPD/Gu1.0 (2017.02.01) 2
Appendix C – Overall CPD Submission Form
Please copy and paste this template into a new word document when submitting your CPD record

ERB/CPD/F3.0
CPD Portfolio for the Annual Cycle ending 31st December, 2017

Please complete and return to: Postal Address Physical Address Email
P. O. Box 1909, Unit 3, Plot 145 renewals@erb.org.bw
AAD Poso House Kgale Lakeview, Gaborone
Gaborone Tel: +267 391 4446
Botswana Fax: +267 397 3626

Surname: Practising certificate No.:

Given names: Issue date:

Registration No.: Expiry date

ERB/CPD/Gu1.0 (2017.02.01) 3
1. CATEGORY 1: DEVELOPMENTAL ACTIVITIES: 10hrs/Credit (Max. 2 Credits per year from this category)
Provider Duration Verification
(If provider is not a recognized
(Provide proof of
voluntary association or
Date attainment or

Credits Claimed
Name of Activity Activity accredited institution, provide
participation e.g.
name of recognized voluntary

Total hrs.
association approving the activity Certificate or letter)

From

To
as well)

Total Credits for this Activity

ERB/CPD/Gu1.0 (2017.02.01) 4
 2. CATEGORY 2: WORK-BASED ACTIVITIES:
Provider Duration Verification
(If provider is not a
(Provide proof of
recognized voluntary

Credit Earning

Hours / Credit
attainment or
Name of Activity Date association or accredited

Credits Claimed
Activity institution, provide name of
participation e.g.

recognized voluntary Certificate or

Total hrs.
association approving the letter

From

To
activity as well)

Total Credits for this Activity

3. CATEGORY 3: Professional Services:

ERB/CPD/Gu1.0 (2017.02.01) 5
 Provider Duration Verification
Activity (If provider is not a recognized
(Provide proof of

Credit Earning

Hours / Credit
voluntary association or
Name of Date attainment or

Credits Claimed
accredited institution,
Activity participation e.g.
provide name of recognized

Total hrs.
voluntary association Certificate or letter

From

To
approving the activity as well)

Total Credits for this Activity

ERB/CPD/Gu1.0 (2017.02.01) 6