Dupage County Regional Office Of Education - Application For Approval Of Local Institute
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1DUPAGE COUNTY REGIONAL OFFICE OF EDUCATION
APPLICATION FOR APPROVAL OF LOCAL INSTITUTE
Submit this form with agenda and time schedule to:
Dr. Darlene J. Ruscitti, Regional Superintendent
DuPage County Regional Office of Education
421 N. County Farm Road
Wheaton IL 60187
Fax to: 630.407.5802 or email:
If faxing or emailing the form to the ROE, no need to send a hard copy.
INSTITUTE INFORMATION
Must be submitted 30 days prior to the Institute Day
Must include 5 hours of Professional Development Activities
Must include Agenda with time schedule
District Name and Number:
Hours
Date of Institute:
From:
To:
Contact Person:
Phone #:
Position:
Email Address:
School districts are responsible for issuing professional development credit to participants for hours
meeting the criteria as set by ISBE.
The Regional Superintendent’s approval on this application is based on an agenda showing a minimum
of 5 hours of professional learning experiences as indicated in Section 3-11 of the School Code of
Illinois.
Signature: __________________________________________
Date: _________________________
Position: __________________________________________ Phone: _________________________
To Be Completed by ROE
Approved: ___________________________ Signed: _______________________________________
Dr. Darlene J. Ruscitti, Regional Superintendent
12/16
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