EDR 13

MINISTRY OF EDUCATION
APPLICATION FOR: PROFESSIONAL DEVELOPMENT LEAVE
ED. RULE 82 (2), S.I. 87 OF 2012
Application form must be completed in TRIPLICATE and forwarded to the Managing Authority, through the Principal, not
less than two weeks prior to the period for which the leave is being requested.

Procedures: A. APPLICANT’S BIOGRAPHICAL DATA

1. Submission of 1. NAME
completed form along
with all required Last Name First Name Middle Name
information, to 2. SCHOOL
Principal.
2. Principal makes 3. DISTRICT
recommendation and
forwards form to 4. MANAGING
Managing Authority. AUTHORITY
3. Managing Authority B. PARTICULARS OF EVENT
verifies particulars 5. Name of course /
provided in the conference /
application. seminar:
4. Managing Authority 6. Teacher nominated by ˆ SELF
makes decision on ˆ OTHER (specify)
leave of 1-10 days 7. Attach or provide description (Institution/Organisation, objectives, content and
OR makes duration) of course/seminar/conference.
recommendation and
forwards application 8. Is course/conference/seminar accredited? ˆ Yes ˆ No
to TSC If YES, by whom OR
5. TSC makes decision
Is course/conference/seminar approved by the Ministry of Education?
on leave exceeding
10 days. †Yes † No
6. Copies 1 and 2 of C. LEAVE HISTORY
form returned to 9. Has Professional Development Leave been ˆ Yes ˆ No
Managing Authority. granted before?
7. Copy 3 of form If YES, state period(s) From: To:
forwarded to TSC
Secretariat
8. Copy 1 of form 10. Number of days and period for which
returned to Principal, leave is being requested: ___________________days
who informs the
applicant of the From To
decision. D. INSTRUCTIONAL MATERIALS
11. I agree to prepare and ˆ Lesson Plans
submit the following: ˆ Test(s)
ˆ Home Work
ˆ Worksheets
ˆ Other (specify)
12. I further agree to use and share the knowledge, skills and materials acquired with the 
staff and students of this institution. 

Signature of Applicant D M Y
 
 
 
 
 
 
 FOR OFFICE USE

PRINCIPAL’S
RECOMMENDATION Application Received: By:

D M Y Signature
Instructional arrangements ˆ Satisfactory
made by this teacher are
ˆ Not satisfactory

During the period a ˆ Will not be needed.

replacement teacher
ˆ Will be From: To:
needed
This application for ˆ Supported
Professional Development
Leave is ˆ Not supported

Signature D M Y
MANAGING AUTHORITY Application Received:

D M Y
Description of event ˆ Yes ˆ No
Verification of Details provided and is
satisfactory
Accreditation of event ˆ Yes ˆ No
accepted by Ministry of
Education
Details in C. Leave ˆ Yes ˆ No
History are accurate
Professional Development ˆ Approved ˆ Not Approved
Leave of 1-10 days
Leave of _________ days
Comments:

Signature D M Y
TEACHING SERVICE Application Received:
COMMISSION
D M Y
Professional Development ˆ Approved ˆ Not Approved
Leave exceeding 10
days Leave of _________ days

Signature D M Y