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Jodi Reed & Kerry Kilber

jodi.reed (at)
phone: (619) 660-4405


Individual Activity Proposal Form

Submit this form to propose an Individual Activity for Professional Development hours. If you have already done the activity, submit the Completed Activity Form. Please submit a separate form for each activity.

First Name: A value is required.
Last Name: A value is required.
Department: A value is required.
Phone: A value is required.Invalid format.
Email Address: A value is required.Invalid format.
Semester of activity: A value is required.
Date(s) of Activity: A value is required.
adjuncts: dates must fall between January 19 - March 31 .
full-timers: dates must fall between July 1 - May 17
Activity Title: A value is required.Exceeded maximum number of characters.
Brief description of activity &
how it is relevant to your
development as a teacher:

(maximum of 255 characters)
A value is required.Exceeded maximum number of characters.
State Guideline
that best describes
the outcome
of your activity :
Improvement of teaching
Maintenance of current academic and technical knowledge and skills
In-service training for vocational education and employment preparation programs
Retraining to meet changing institutional needs
Intersegmental exchange programs
Development of innovations in instructional and administrative techniques and program effectiveness
Computer and technological proficiency programs
Courses and training which implement affirmative action and upward mobility
Other activities determined by the Board of Governors to be related to educational and professional development pursuant to criteria established by the Board of Governors of the California Community Colleges


Hours: A value is required.The entered value is less than the minimum required.The entered value is greater than the maximum allowed.Integer required (number, no decimals).






Revised   April 11, 2014
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