WRAY SCHOOL DISTRICT RD-2 APPLICATION FOR COURSE APPROVAL FOR SALARY SCHEDULE ADVANCEMENT This form must be submitted PRIOR to enrolling in a course to count toward salary schedule movement. Any horizontal changes on the salary schedule must be sent, in writing, to the Superintendent’s Office by March 15 of the year prior to the movement. (See policy GCBA-R) Name: Position: Course Number:

Instructor:

Course Title:

College or University:

Course Location:

Credit Hours:

Semester:

Summer

Fall

Winter

Spring

Who pays for this course? Is this course (check all that apply) . . . Graduate Correspondence Workshop Conference

Undergraduate On-Line Coaching clinic Other

Please note that no more than 4 hours on the salary schedule can come from areas outside of the “Graduate” category for each horizontal movement.

Please briefly explain ONE of the following: How is this course related to your instuctional field?

How is this course related to your professional growth plan?

How is this class going to improve your ability to be a successful educator?

Will this course enable you to move horizontally on the salary schedule? Approved:

Yes

No

Approval date:

Principal’s Signature

Business Office: Date transcript received:

Superintendent’s Signature

Yes

No