Child Care Provider Annual Professional Development Plan Form

ADVERTISEMENT

Tennessee Child Care Provider Annual Professional Development Plan
Personal Information
(completed by staff member)
First & Last Name_________________________________________________________
Position ______________________________Date of employment__________________
Facility___________________________________________Phone_________________
Licensing Date: From __________to __________Year____________
Highest level of education attained: circle one
GED, High School, Some College, CDA, Associate’s Degree, Bachelor’s Degree, Master’s Degree
What is your educational goal? circle one
Improve my job skills, GED, High School, Some College, CDA, Associate’s Degree, Bachelor’s Degree,
Master’s Degree, Doctorate
Professional Survey
(completed by administrator with input from staff member)
Please mark SK if staff person is somewhat knowledgeable, K if knowledgeable, or N if
more information is needed about the following:
_____Child Development
_____Family Relationships
_____Guidance
_____Professionalism
_____Health & Safety
_____Individual & Cultural Diversity
_____Learning Environments _____Developmentally Appropriate Practice
_____Administration
_____Inclusion/special needs _____Observation & Assessment
_____Language/literacy
_____Curriculum Planning
_____Technology
Professional Areas for Improvement/Short-term goals
(completed by staff member with input
from administrator)
Choose at least two areas (from the above survey or content list in guide) to complete
this sentence: “This licensing year I would like to improve my knowledge and/or skills in
1._________________________________ and 2.______________________________.
Other short-term goals:
Professional Plan of Action to Improve Knowledge and/or Skills
(completed by staff
member with input from administrator)
How do you intend to build knowledge on each short-term goal this year? Check all
that apply.
1.□
Workshops □ Professional Conferences □ Academic Coursework □ Targeted Technical Assistance
□ Other (explain)_____________________________________________________________________
2.
□ Workshops □ Professional Conferences □ Academic Coursework □ Targeted Technical Assistance
□ Other (explain)_______________________________________________________________________
Long-term goals
(completed by staff member)
Professionally, in five years …
Needed to achieve long-term goal:
I would be interested in:
□ Job security
□ Accreditation
□ Advancement opportunities
□ Administrator’s Credential
□ Administrative support
□ Infant/Toddler Credential
□ Financial assistance
□ Other: ______________________
___________________________________
________________________________
Director’s Signature
Employee’s Signature
____________
____________
Date
Date

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go