Nominated Education TPN initials Centre Community of Activity Reference Code Practice/Branch (From original proposal form) Estimated costs (From Local Regional National (tick one) original proposal form) Estimated number of Details of CPD activity participants (From original proposal form) Theme of CPD activity Category Mode Date held see list 1 see list 2 Venue Other organisations Male Female Total number involved of participants Brief outline and evaluation of the CPD activity: Category of CPD – List 1 On-line(forum; discussion group; ‘static’) Video conference National conference Lecture/Presentation /Seminar Community of Practice development meeting Practical demonstration Curricullum development Field trip Current Educational Priorities (e.g. Key Skills) Master class Subject Department/ Programme Planning Reading/Recital/Performance Action research group Discussion ICT training Workshop Guest lecture/speaker Activity-based Display/sharing of resources Other – please specify Other – please specify Mode of delivery – List 2: _______________________________________________________________________________________________________ Claims MUST be made as soon as an activity happens and no later than eight weeks after the event. Late claims will incur in a 10% surcharge
TPN initials Nominated Education Centre Community of Practice/Branch Activity Reference Code (From original proposal form) Local Regional National (tick one) Estimated costs (From original proposal form) Details of CPD activity Estimated number of participants (From original proposal form) Theme of CPD activity Category see list 1 Mode see list 2 Date held Other organisations involved Venue Total number of participants Male Female Brief outline and evaluation of the CPD activity: Category of CPD – List 1 National conference Community of Practice development meeting Curricullum development Current Educational Priorities (e.g. Key Skills) Subject Department/ Programme Planning Action research group ICT training Guest lecture/speaker Display/sharing of resources Other – please specify Mode of delivery – List 2: On-line(forum; discussion group; ‘static’) Video conference Lecture/Presentation /Seminar Practical demonstration Field trip Master class Reading/Recital/Performance Discussion Workshop Activity-based Other – please specify _______________________________________________________________________________________________________ Claims MUST be made as soon as an activity happens and no later than eight weeks after the event. Late claims will incur in a 10% surcharge