Request for Credit: Self-directed Learning

Application for Self-directed Development Credit: momo.edu acknowledges your efforts to develop yourself outside of Momentum's internal offerings. Please complete the fields below to submit your request for credit for self-directed development. Thank you.

Course Information
Participant Name

Participant Supervisor Name

Office location

Name of Development Program (e.g. Presentation Skills)

Date of Development Program
Month
  

Day
  

Year
  

Development Subject

Momo.edu Category of Training (please choose one)
  

Learning Format (please choose one)
  

Number of Credit Hours
  

Reflection
What were the key areas of focus for this program?

What part of this program was most useful for you?

What part of this program was least beneficial for you?

Would you recommend this program to a colleague? Why, or why not?

Your Action Plan

Inspired? Tell us how you will apply what you've learned.

The purpose of action planning is to help you address what you may do to improve your performance. We say "may do" because you have a choice to make - it is up to you to choose what you wish to develop further or to change. Think carefully about what you wish to focus on. This is critical if you're to progress your plan from being a list of good intentions to actions you successfully undertake.

Where do you want to be?
Overall development objective

What does "good" look like?

Action Steps

How will you know when you get there?
Timeframe

Success measure
Please print a copy of this form for your own records, you won't be able to access this information again otherwise. Please send any questions about the program or qualifying learning activities to momo.edu@momentumww.com