Participant Evaluation 2011

1. Complete this evaluation to receive your Act 48 hours for the morning session.

Contact Information

Contact Information Name:
PPID#:
Email Address:

Home School District and Building

	Home District	School Building
Please choose	Home School District and Building Please choose Home District	School Building

ATTENTION: In order to receive Act 48 hours for Journey to Learn 2011, you must complete this evaluation in its ENTIRETY.

Your evaluation will not be accepted until you have completed ALL QUESTIONS and have clicked the DONE button at the end of the evaluation.

This evaluation will take approximately 10 minutes or less to complete.

ATTENTION: In order to receive Act 48 hours for Journey to Learn 2011, you must complete this evaluation in its ENTIRETY. Your evaluation will not be accepted until you have completed ALL QUESTIONS and have clicked the DONE button at the end of the evaluation. This evaluation will take approximately 10 minutes or less to complete. I understand that I must complete the evaluation and click the DONE button for my responses to be accepted.

I do not wish to complete this evaluation or receive Act 48 hours for Journey to Learn 2011.