Clock Hour Committee Review and Approval

PEI Logo and OSPI Logo - Washington State Approved Clock Hour Provider

Hello Clock Hour Approval Committee Member, 

Thank you for supporting PEI and our efforts to ensure that all workshops and inservice professional development opportunities meet OSPI's documentation requirements for providing clock hours. This form is designed to walk you through the clock hour approval process so you can make your final determination and provide feedback. As you complete this form, please have the agenda available for review.

This form is designed so that if all the answers to the questions below are answered with a "Yes," an approval box will appear for you to sign and date the form before you submit it.

If any of the answers to the questions below are answered with a "No," a box will appear stating that the clock hour form needs more information. You will still sign and date the form before you submit it, and the Clock Hour Administrator/PEI Program Director will follow up with you.

Committee Member Information
Workshop/Inservice Information





Agenda Review
As an approved clock hour provider, PEI must have on file an agenda for the workshop or inservice. The agenda must include the following components to meet OSPI requirements:
  • Dates of the sessions
  • Number of clock hours available
  • Facilitator Qualifications
  • Outcomes
  • Objectives
  • Reflection/Planning
  • STEM Criteria (if requesting STEM clock hours)
Facilitator Qualifications


Dates of Session


Clock Hours Available


Outcome(s)


Objectives


Reflection/Planning


STEM Clock Hours

STEM Criteria


STEM Guiding Questions
As a provider of STEM-related continuing education we must design or support workshops and course offerings that ensure educators will meet the renewal requirements. In order for this workshop to be eligible for STEM clock hours, the workshop coordinator must be able to answer “yes” to the following guiding questions and demonstrate this in their agenda. Please find more details on OSPI's page: STEM Clock Hours.

As the Clock Hour Approval Committee member, please review the agenda and answer the following guiding questions.





Evaluation Review
As an approved clock hour provider, PEI must have on file an evaluation for the workshop or inservice. The evaluation must contain the following components to meet OSPI requirements:
  • Objectives
  • Perception
  • Reflection
  • Suggestions
Objectives


Perception


Activities


Reflection


Suggestions


Agenda Approved (with STEM clock hours)
The agenda for this workshop met all the criteria to be approved for clock hours.
Please type your name for your signature
Agenda Approved (no STEM clock hours)
The agenda for this workshop met all the criteria to be approved for clock hours.
Please type your name for your signature
Agenda Needs More Information
There were one or more questions or concerns about the agenda that the workshop facilitator(s) must address before approval. The Clock Hour Administrator/PEI Program Director will follow up with you for more information to discuss with the workshop facilitator.
Please type your name for your signature.