Enter Professional Development Activity If you are a human and are seeing this field, please leave it blank. Use this form to create a record of each of your professional development activities (one activity per submission). When you submit, you receive an email copy for your own use. At the end of the year, you will receive a compiled list of all activities you record here. First Name Last Name Email Enter your Sullivan email. Professional Development Roles Click this link to review the Professional Development Roles and examples of activities within those roles. Use this as a guide to select your choices in the next two fields. Professional Development Role Select your professional role for this activity. Teacher Practitioner Scholar Practitioner/Scholar Activity Type Select your activity type if listed; otherwise, select Other. Book Book Chapter Journal Article Conference Proceedings Trade Journal / Magazine Book Review Conference Presentation Grant Award Other Description If your activity is a book, book chapter, journal article, conference proceedings, trade journal / magazine, book review, conference presentation, or grant award, use the format of these examples in your description below. For other types of professional development activities, enter a brief description (~20 words or less) . Year Select the year in which this activity occurred. 2017 2018 2019 2020 2021 2022 2023 2024 2025 Month Select the month in which this activity occurred. January February March April May June July August September October November December Funding Did you use Sullivan University funding for this activity? Yes - SU research grant funds Yes - SU professional development funds No