This
form must be completed for each meeting and/or workshop
you attend in order to receive credit for hours.
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| Name: |
| First |
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| Middle |
|
| Last |
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| Work
Shop you attended: |
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| Date(S)
of Activity: |
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| Time |
|
| Percent
of Attendance: |
100%
|| 75%
|| 50%
|| 25%
|
| Rate
the Following: |
| UNSATISFACTORY(1) MARGINAL(2) SATISFACTORY(3) VERY
GOOD(4) EXCEPTIONAL(5) |
| 1. RELEVANCE
TO SITQC INITIATIVE |
1
|| 2
|| 3
|| 4
|| 5
|
| 2. RELEVANCE
TO MY CLASSROOM INSTRUCTION |
1
|| 2
|| 3
|| 4
|| 5
|
| 3. QUALITY
OF EXPERIENCE/ ACTIVITY/WORKSHOP |
1
|| 2
|| 3
|| 4
|| 5
|
| 4. OVERALL
RATING OF THIS ACTIVITY |
1
|| 2
|| 3
|| 4
|| 5
|
| Essay |
| 1. Describe
your favorite or best experience of the activity: |
|
|
| 2. Describe
what portion (s) you might use in your instruction: |
|
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| 3. Comments
or suggestions about the activity: |
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4. Which
standards did this experience address:
|
| MATH: |
|
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| Science: |
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| Describe
your plans for incorporating this experience into your
instruction: |
|
| 5. Would you recommend this activity for other teachers: Yes
No
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| |
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