PARTICIPANT CHECKLIST COVER SHEET FOLLOW-UP by callmemelo

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									                                                         7720 W. Oakland Park Boulevard
                                                                      Sunrise, FL 33351
                                                                         (754) 321-0475
         www.broward.k12.fl.us/it                                  (754) 321-0477 (FAX)




                  PARTICIPANT CHECKLIST COVER SHEET



Please type in each of the gray boxes. Use the Tab key to move to the next field. Print
out and sign this cover sheet. Please staple to your assignment and return to the
activity contact person.

Participant’ Name:                                           Employee No.:


Work Location:                                               Location No.:


Course Name:                                                 Course Location:


Class Date(s):                                               Business Event:



Please sign below if you do not want in-service points for this business event:


                 X __________________________________________


Deadline for returning follow-up activities to contact person:


Attached to this sheet:                      Staff Development Activity Log
(Click the applicable boxes)                 (Use this sheet to track follow-up activities
                                             outside of class time.)

                                             Follow-up activities sheet and activities

                                             Participant Time Sheet
                                             (Use this sheet to track hours for stipend)

My signature below confirms the participant completed all follow-up activities for in-
service points/stipend.

______________________________________                              ____________
Facilitator’s/Contact Person’s Signature                               Date

								
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