This document is a continuing education activity report form for Wisconsin public library directors. It provides instructions for completing and submitting the form annually to the library system validator. The form details a specific continuing education program the director attended on poverty awareness through library engagement. The 4.5 hour in-person workshop was held in Shawano, Wisconsin and focused on rural poverty challenges and how libraries can engage their communities to address these issues. It was provided through the Northeast Library System.

1. Wisconsin Department of Public Instruction
CONTINUING EDUCATION ACTIVITY REPORT
PI-2453 (Rev. 09-11)
INSTRUCTIONS: Complete and submit annually to your library
system validator along with the Annual Summation of Continuing
Education Activities, Form PI-2454. Refer to the Certification
Manual for Wisconsin Public Library Directors for assistance.
Name Last, First, Middle
Mailing Address Street / PO Box, City, State, ZIP
I. CONTINUING EDUCATION ACTIVITY DESCRIPTION
Title of Program
Poverty Awareness Through Library Engagement
Description of Program
This in-person workshop will focus on rural poverty that is custom-designed for library directors and staff. Poverty Awareness
for Community Engagement (PACE) presentations by a Shawano County UW-Extension agent will provide key lessons
regarding poverty challenges and class awareness. A former UW-EX agent and PACE trainer who now directs the public
library in Three Lakes will serve as a bridge between PACE concepts and the library environment. Participants will be guided
to develop a palette of library-based and outreach action plans for community implementation. Outcomes will be measured by
survey instruments in a manner consistent with other CE events in the two systems.
Relationship of Program to Present Position or Career Advancement
Activity Dates Location Number of Contact Hours
From Mo./Day/Yr.
10/13/2015
To Mo./Day/Yr.
10/13/2015 Shawano, WI
Technology If any
Total
4.5
Provider If applicable
NFLS
Category Check one, attach written summary if applicable
A. Credit Continuing Education Attach formal documentation from the sponsoring agency.
B. Noncredit Continuing Education
C. Self-directed Continuing Education
II. SIGNATURE
I HEREBY CERTIFY that the information provided is true and correct to the best of my knowledge.
Signature of Participant

Date Signed Mo./Day/Yr.