1. Teacher Data

This form should be compiled and submitted by the lead teacher at each participating school. The first page is for teacher data; the second is for student data.

Please compile all information before submitting; you will not be able to reaccess this form. Deadline: March 8, 2013.

If you have any questions, please contact Judith Dworkin(jdworkin@mihumanities.org; 517-372-7770).

School Name:

City:

Lead Teacher:

Please share any successes, challenges, and/or other anecdotes related to the Poetry Out Loud program.

Please complete the section below for each teacher who participated in Poetry Out Loud 2011-12 at your school.

Teacher #1

Teacher #2

Teacher #3

Teacher #4

Teacher #5

Teacher #6

Teacher #7

Teacher #8

Teacher #9

Teacher #10

Approximate number of times your class met to discuss Poetry Out Loud material.

T