21st CCLC Reg Ed Teacher Survey
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1. Default Section
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1
. Teacher Name:
Teacher Name:
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2
. 21st CCLC Student Name:
21st CCLC Student Name:
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. Based on what you have observed as this child's regular school day teacher, has this student improved in reading?
Based on what you have observed as this child's regular school day teacher, has this student improved in reading?
Yes
No
Other (please specify)
4
. Based on what you have observed as this child's regular school day teacher, has this student improved in math?
Based on what you have observed as this child's regular school day teacher, has this student improved in math?
Yes
No
Other (please specify)
5
. Based on what you have observed as this child's regular school day teacher, has this student improved in the amount of homework he or she successfully completes?
Based on what you have observed as this child's regular school day teacher, has this student improved in the amount of homework he or she successfully completes?
Yes
No
Other (please specify)
6
. Based on what you have observed as this child's regular school day teacher, has this student improved in attitude or maintained a good attitude toward school?
Based on what you have observed as this child's regular school day teacher, has this student improved in attitude or maintained a good attitude toward school?
Yes
No
Other (please specify)
7
. Based on what you have observed as this child's regular school day teacher, has this student been getting along better with peers?
Based on what you have observed as this child's regular school day teacher, has this student been getting along better with peers?
Yes
No
Other (please specify)
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. Based on what you have observed as this child's regular school day teacher, has this student improved 21st Century skills?
Based on what you have observed as this child's regular school day teacher, has this student improved 21st Century skills?
Yes
No
Other (please specify)
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9
. Please address any comments/concerns/student needs below:
Please address any comments/concerns/student needs below:
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