District:

Form B

Principal Name:

Principal Signature:

Supervisor Name:

Supervisor Signature:

School:

School Year:

Years of Experience:

Dates of Site Visits:

(1)

Date of PDP Development:

(2)

(Within 40 days of Principal commencing his or her contract)

(Other)

Competencies/Indicators Focus Area(s)	EPSS Goal Focus Area(s)

Action Plan (describe the action(s) planned to meet the objective chosen)	Assistance to be provided by Supervisor	Timeline	Evidence of PDP Implementation	Mid Year Review
				The Professional Development Plan has been reviewed, discussed, and refined as appropriate.

				Principal’s Signature/Date

				Supervisor’s Signature/Date

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