Keepers in the Classroom Environmental Project Evaluation 2010-11 (GlaxoSmithKline)

1. Default Section

Question Title

* 1. Name of School

Question Title

* 2. Name of Teacher

Question Title

* 3. Grade Level for students involved in Environmental Project(check all that apply)

Kindergarten

First

Second

Third

Fourth

Fifth

Sixth

Seventh

Eighth

Ninth

Tenth

Eleventh

Twelfth

Question Title

* 4. Date of Project (beginning/end)

Question Title

* 5. Total # students participating

Question Title

* 6. Student Demographics: For our reports to the NC State Environmental Education Department

Please indicate the number of students in your class that fit the following categories

Male

Female

AfricanAmerican

Caucasian

Latino

Asian

Other

Physical disabilities

Learning/emotional/mental disabilities

Keepers in the Classroom Environmental Project Evaluation 2010-11 (GlaxoSmithKline)

1. Default Section

Question Title

* 1. Name of School

Question Title

* 2. Name of Teacher

Question Title

* 3. Grade Level for students involved in Environmental Project(check all that apply)

Question Title

* 4. Date of Project (beginning/end)

Question Title

* 5. Total # students participating

Question Title

* 6. Student Demographics: For our reports to the NC State Environmental Education Department

Please indicate the number of students in your class that fit the following categories

Question Title

* 7. Describe your project: Please address any changes in activities from the original grant request

Question Title

* 8. How did you evaluate this project? What were the results?

Question Title

* 9. How will other students or the school benefit from this project?

Question Title

* 10. Will this project continue or be a permanent addition or ongoing project for the classroom or school?

Question Title

* 11. What, if any, follow-up activities will be implemented as a result of this project?

Question Title

* 12. Additional Comments:

Question Title

* 1. Name of School

Question Title

* 2. Name of Teacher

Question Title

* 3. Grade Level for students involved in Environmental Project(check all that apply)

Question Title

* 4. Date of Project (beginning/end)

Question Title

* 5. Total # students participating

Question Title

* 6. Student Demographics: For our reports to the NC State Environmental Education Department Please indicate the number of students in your class that fit the following categories

Question Title

* 7. Describe your project: Please address any changes in activities from the original grant request

Question Title

* 8. How did you evaluate this project? What were the results?

Question Title

* 9. How will other students or the school benefit from this project?

Question Title

* 10. Will this project continue or be a permanent addition or ongoing project for the classroom or school?

Question Title

* 11. What, if any, follow-up activities will be implemented as a result of this project?

Question Title

* 12. Additional Comments:

* 6. Student Demographics: For our reports to the NC State Environmental Education Department

Please indicate the number of students in your class that fit the following categories