This form is to be submitted after the completion of any event covered by SRTA PD funding (for which your application was pre-approved by the SRTA PD Committee). This form will automatically be emailed to the PD chair.Please remember to email scanned receipts and one-page articles (if Out-of-Area, University Coursework or Group Project) to firstname.lastname@example.org.
All fields marked with an asterisk required.
*School(s) worked at:
*Name of PD activity, group project, or classroom visit:
*Date that PD activity, group project, or classroom visit started:
Date that PD activity, group project, or classroom visit ended, if different than start date:
Attach scan of original receipts:
Attach one-page article (if applicable) in Word format: