Presenter Information:

First Name
Last Name
Title
CLC/Org
Work Phone
FAX
E-mail
URL

Enter the date of workshop:

Module(s) Presented:

Exploring the Earth in Motion
Exploring the Moon and Stars
Exploring Waves
Exploring Energy
Exploring Light and Color
Exploring Navigation
Exploring Time
Exploring Motion and Forces
Meeting the New Science Standards Seminar
Other
Please explain other...

Number of teacher participants:

Grade level(s) taught by teacher participants:

1
2
3
4
5
6
7
8
9
10
11
12
Undergraduate
Graduate

Was pre-test given?

Yes No

Maximum score on PRE-TEST:

Average score:

Was post-test given?

Yes No

Maximum score on POST-TEST:

Average score:

Number of teacher participants who have participated in other CLC workshops:

Was a separate workshop evaluation form provided to the teachers?

Yes No

Instructor's reflections:

Instructor's suggestion for improvement:

Was workshop funded by grant?

Yes No

If yes, which grant?

Was workshop fee-based?

Yes No

What marketing strategies were used?