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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
30-Minute Thursday: Using the Five Senses in Afterschool Programming
Description of Program
Play, talk, write, read and sing are the five practices of early literacy.
We gear these practices toward early literacy programming, but literacy is part of life-long learning. Some of these practices are
not being used as frequently in school, especially play, talk and sing. Kymberley will discuss using these practices as part of our
afterschool programming, while continuing the literacy and learning.
Relationship of Program to Present Position or Career Advancement
     
Activity Dates Location Number of Contact Hours
From Mo./Day/Yr.
11/12/2015
To Mo./Day/Yr.
11/12/2015 Online
Technology If any
     
Total
0.5
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.

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WI DPI Continuing Education Report Form

  • 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 30-Minute Thursday: Using the Five Senses in Afterschool Programming Description of Program Play, talk, write, read and sing are the five practices of early literacy. We gear these practices toward early literacy programming, but literacy is part of life-long learning. Some of these practices are not being used as frequently in school, especially play, talk and sing. Kymberley will discuss using these practices as part of our afterschool programming, while continuing the literacy and learning. Relationship of Program to Present Position or Career Advancement       Activity Dates Location Number of Contact Hours From Mo./Day/Yr. 11/12/2015 To Mo./Day/Yr. 11/12/2015 Online Technology If any       Total 0.5 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.