Please complete one entry for each day you were involved in an instructional practice activity. Entries should be posted within 48 hours after the completion of the activity.

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1. Your Network (Please select the Network located in your geographical target area.) (Required.)

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2. Your first name

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3. Please enter the date of the instructional practice.

Date

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4. Which of the following best describes the primary target of your instructional practice?
Please complete only one of the four options.

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5. Please provide the name of the school and school authority

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6. New school/school authority?

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7. Was the instructional practice geared at a school/school authority located in a Métis Settlement or a First Nations Reserve?

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8. Type(s) of Interaction (check all that applies)

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9. Which of the following did the instructional practice include (check all that apply)

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10. Please indicate the approximate number of persons you interacted with.

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11. REPORT NARRATIVE
This should be a short, stand-alone, description of the instructional practice.

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