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Post PD Data Submission Survey

1.SIM Professional Development Information

On this page, please be sure to complete the demographic information as requested.
Dear SIM Professional Developer,

Thank you for taking the time to submit information to the University of Kansas Center for Research on Learning (KU-CRL) about your SIM® Professional Development session. This online questionnaire may be used in place of the Post Professional Development Report Form. In order to complete this questionnaire, you will need to have ready the contact information for the agency sponsoring the session (if any) and the names and email addresses of all participants.

KU-CRL is committed to safeguarding the privacy of information entrusted to us. We will not sell or distribute personal information. In addition, KU-CRL is governed by the general privacy policy of the University of Kansas (https://documents.ku.edu/policies/provost/PrivacyPolicyGeneral.htm).

This information allows us to verify an educator's SIM experience if needed. Information may be used in compiling statistics for grant applications to continue our research. Your name and contact information will not be associated with these data. In these times of uncertain funding, I cannot stress how important it is to the KUCRL that this data is submitted.

Please do contact Peony Allen (peonya@ku.edu 785.864.0535) if you have any questions, or if you experience any problems with the questionnaire.

Thank you so much,
Jocelyn Washburn
Director of Professional Development
KUCRL
1.Please list the names of up to four SIM Professional Developers who presented this session:(Required.)
2.Session Site Contact Information(Required.)
3.Please list the dates for this SIM Professional Development offering. If this is a virtual session that extended over multiple dates, please provide the date of the first session.(Required.)
Day
Month
Year
Start Date:
4.Please select the processes you will use to provide follow-up support and verify implementation:
5.Please select the Overview (if any) presented during this professional development activity. (You may select more than one):
6.Please select the CONTENT ENHANCEMENT ROUTINE (if any) presented during this professional development activity. (You may select more than one):
7.Please select the LEARNING STRATEGY (if any) presented during this professional development activity. (You may select more than one):
8.Please select the Reading Program (if any) presented during this professional development activity.
9.Number of Participants:
10.Please list the name and email address of all session participants. You can copy and paste these names from another document or simply type them in. Please hit "return" between participants so that each line contains information about only one participant.
For example:
enation@fakeemail.com, Ed Nation
swellman@fakeemail.com, Susan Wellman

Email simpd@ku.edu if you have a list of people who would like to receive SIM Micro-credentials for their work.  Thanks!
11.Your evaluation of this PD Session (quick summary):
12.Other questions or comments:
50%
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