Name ________________________________SS #_______________________________ Home Tel. No.________________________

District_______________________________ School_________________________________________________________________

Packet Title ___________________________Lesson______________________________ Age level taught_______________________

Subject area taught (i.e., art, social studies, history)_____________________________________________________________________

1. Read the entire packet of materials for a given Evening for Educators.

2. Rate the following areas according to this scale: 1. Poor 2.Fair 3.Good 4.Excellent
In the comments area, please give a brief reason for the rating, if necessary.

A. Overall concept or theme used in packet .........................................................................................................................................1 2 3 4
Comments:

B. Questions for Looking....................................................................................................................................................................1 2 3 4
Comments:

C. Biographical Information................................................................................................................................................................1 2 3 4
Comments:

D. Support materials or visuals...........................................................................................................................................................1 2 3 4
Comments:

E. Evaluation strategies........................................................................................................................................................................1 2 3 4
Comments:

F. Helpful in achieving State Core Standards......................................................................................................................................1 2 3 4

3. Do you have suggestions for future themes, content or speakers for future Evenings for Educators?.

4. Fill in the dates and locations of the Evening for Educators programs you attended.

Outreach site and dates________________________________________

5. General comments:

Assessment of Student

Learning and Teacher Presentation

1. Please identify the specific lesson and which Evening for Educators packet you used with your students.

2. Please identify the specific objective(s) from the Utah State Core Curriculum you have selected for your students to achieve.

3. Describe the processes used in implementing this lesson.

4. Please summarize / describe your students' achievement of, or progress in achieving this (these) objective(s).

5. Include a copy of the rubric you used to assess student achievement of targeted core objectives .

6. What aspects of the lesson did you feel needed improvement and why?

7. What do you feel is the general consensus of your students regarding the lesson you taught?

8. What were some of the students' specific comments regarding this lesson?

9. If possible, attach a sample of the finished production (photocopies are acceptable as are photographs or scanned

images printed on regular writing paper).

10. General comments: