This PLC action record template provides space for a school team to document their goal, strategies and action steps to achieve it, who is responsible for each step, the timeline to implement and track their effectiveness. The template is adapted from Learning by Doing by Richard DuFour and Rebecca DuFour to help professional learning communities plan and monitor their work.

1. PLC Action Record
School:_GFMS_ PLC:___________________________ Date:___________________
Team Members:__________________________________________________________________
________________________________________________________________________________
Team Goal Strategies and Who is Timeline Evidence of Effectiveness
Action Steps Responsible
Adapted from Learning by Doing, Richard DuFour and Rebecca DuFour