PIR Approval Request Form
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Name
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required
First Name
Last Name
Email Address
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required
School
*
required
Highland Park
Lincoln McKinley
Sunnyside
Havre Middle School
Havre High School
Position
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required
Teacher, Para, Admin etc.
Description of Activity
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required
Describe how this course meets the definition of staff development for your position.
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required
Beginning Date of Activity
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required
Must contain a date in M/D/YYYY format
Ending Date of Activity
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required
Must contain a date in M/D/YYYY format
Time of Activity
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required
Example: 4:30PM to 7:00 PM
Total Hours of Participation
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required
This request has been approved by my Building Principal
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Please select up to 1 choice
YES
NO
Please select up to 1 choice
Submit