Dallas County CIPA Video Documentation
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1
. Choose your school.
Choose your school.
Dallas Co High
Keith Middle High
Southside High
Tipton Middle
Martin Middle
Brantley
BK Craig
Five Points
JE Terry
Salem
Shiloh
Southside Primary
Valley Grande
Other
2
. Your name (Name of Teacher)
Your name (Name of Teacher)
3
. Date Internet Safety Video was shown to your students.
MM
DD
YYYY
(K-6) Cyberbullying
Date Internet Safety Video was shown to your students. (K-6) Cyberbullying Month
/
Day
/
Year
(K-6) Internet Safety (Adventures
(K-6) Internet Safety (Adventures Month
/
Day
/
Year
(7-12) Cyberbullying
(7-12) Cyberbullying Month
/
Day
/
Year
4
. Rate the following Internet Safety videos based on your students' reactions to the information presented.
Very helpful and informative
Somewhat helpful and informative
Not very helpful or informative
N/A
(K-6) Cyberbullying
*
Rate the following Internet Safety videos based on your students' reactions to the information presented. (K-6) Cyberbullying Very helpful and informative
(K-6) Cyberbullying Somewhat helpful and informative
(K-6) Cyberbullying Not very helpful or informative
(K-6) Cyberbullying N/A
(K-6 Internet Safety Adventures
(K-6 Internet Safety Adventures Very helpful and informative
(K-6 Internet Safety Adventures Somewhat helpful and informative
(K-6 Internet Safety Adventures Not very helpful or informative
(K-6 Internet Safety Adventures N/A
(7-12) Cybercitizenship
(7-12) Cybercitizenship Very helpful and informative
(7-12) Cybercitizenship Somewhat helpful and informative
(7-12) Cybercitizenship Not very helpful or informative
(7-12) Cybercitizenship N/A
5
. Any comments or discussions by students after viewing the videos?
Any comments or discussions by students after viewing the videos?
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