This document is a continuing education activity report form from the Wisconsin Department of Public Instruction. It provides instructions for library directors to complete and submit annually to their library system validator to report on continuing education activities. The form includes sections to provide details on a specific continuing education activity, such as a program titled "There is an App for That: From Concept to Launch" that provided 0.5 contact hours of instruction on developing a mobile app for a library program. The director certifies the accuracy of the reported information by signing and dating the bottom of the form.