TE-2900-26

8/07

Michigan Department of Education

OFFICE OF PROFESSIONAL PREPARATION SERVICES
P.O. Box 30008, Lansing, Michigan 48909

AUTHORITY: Section 380.1526

of Public Act 289, 1995

Direct questions regarding this

form to Dr. Bonnie
Rockafellow at 517-373-7861.

Beginning Teachers
ANNUAL RECORD OF PROFESSIONAL DEVELOPMENT
GENERAL INSTRUCTIONS: This form should be completed annually for each beginning teacher, then signed and dated by the building principal or individual
with school district authority for professional development. Each year a copy of this form should be placed in the school district personnel file and a copy
provided to the teacher for their portfolio/personal record. The form must be completed for each of a teachers first three (3) years. (Please type or print.
Make additional copies of this form as needed.) This form is a worksheet to be completed and retained by the school district. DO NOT return

this form to the Michigan Department of Education.

NAME OF TEACHER

Jeremy Stedry

SOCIAL SECURITY NUMBER OF TEACHER

NAME OF SCHOOL DISTRICT WHERE EMPLOYED

NAME OF SCHOOL WHERE ASSIGNED

Hemlock Public School District

Hemlock Middle School

NUMBER OF YEARS AS A CONTRACTUAL TEACHER (1st, 2nd or 3rd)

NAME OF MENTOR ASSIGNED FOR THE CURRENT YEAR

3rd

SCHOOL YEAR HIRED

Jeremy Doan

Mentors POSITION/STATUS (teacher, university faculty, retired teacher)

Mentors EMPLOYER

378-11-9116

12-13

NUMBER OF YEARS WITH THE CURRENT SCHOOL DISTRICT

CURRENT SCHOOL YEAR

2014-2015

6th Grade Mathematics/6th-7th Grade Physical Education

Hemlock Public School District

PROFESSIONAL DEVELOPMENT ACTIVITIES/EXPERIENCES

DATE

Registry of
Educational
Personnel
(REP)
Category

TITLE/ACTIVITY

08/26/2014

Hemlock District PD

08/27/2014

Hemlock District PD

08/28/2014

Hemlock District PD

10/03/2014

Technology Department Meetings

PURPOSE/SKILL ADDRESSED

Positively Affecting Student

using Highly Effective Tools
Learning Targets
Positively Affecting Student
using Highly Effective Tools
Learning Targets
Positively Affecting Student
using Highly Effective Tools
Learning Targets
21things4students

NUMBER OF
HOURS
ENGAGED

Outcomes
and

6.0

Outcomes
and

6.0

Outcomes
and

6.0

DO NOT RETURN THIS FORM TO THE MICHIGAN DEPARTMENT OF EDUCATION

THIS COMPLETED FORM IS TO BE RETAINED BY THE SCHOOL DISTRICT

6.0

TE-2900-26

8/07

10/20/2014

Hemlock District PD

Data Driven Instructional strategies

6.0

10/24/2014

Math Department Meetings

Curriculum development for 7/Sp Ed

6.0

10/29/2014

Technology Department Meetings

21things4students

6.0

11/11/2014

SIP Focus School Improvement

Focus school reporting

6.0

01/23/2015

Math Department Meetings

7th grade curriculum development

6.0

02/06/2015

M-STEP

6.0

02/16/2015

Hemlock District PD

03/13/2015

Math Department Meetings

Introduction to the M-STEP

assessment
Formative assessment strategies using
technology
Curriculum development for grade 6-8

2014-15 Year

Mentoring (w/Jeremy Doan)

Varies

30.0

TOTAL
SIGNATURE OF IMMEDIATE SUPERVISOR
SIGNATURE OF TEACHER

6.0
6.0

102.0
TITLE
DATE

DO NOT RETURN THIS FORM TO THE MICHIGAN DEPARTMENT OF EDUCATION

THIS COMPLETED FORM IS TO BE RETAINED BY THE SCHOOL DISTRICT