Site Visit Reports - Teachers' Form
NYUDL Teachers should fill out one of these forms everytime
a student coach visits their school. These reports will help IMPACT
evaluate its student coach program and increase its effectiveness.
It will also help us in keeping a record of what has taken place.
Thank you for taking the time to fill out this form. If you have
problems with this form or suggestions for improving it please
e-mail the webmaster.
Your Name:
Your E-mail:
Your School:
Student Coach's Name:
Date of Visit:
Month: Day: Year:
Visit Started At: Visit Ended At:
Where There Any Difficulties In Setting Up the Meeting? In Getting
to the School?
What activities did you and the high school teacher plan prior
to your visit?
Were these activities accomplished? What other activities occurred?
Describe your participation during the student coach's visit.
Describe the student coach's participation during the visit.
How could the student coach have been more helpful?
How many students were present at the meeting?
What is the usual class or meeting attendance?
What challenges or issues do you see with your school's program?
What would be helpful for IMPACT to know to improve the effectiveness
of future Student Coach visits?
Additional Comments:
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