Teacher Planning Form In order to help map out how EnvironMentors will function at you school this year, please fill out the following guiding form and give a copy to your Chapter Coordinator. School Name: _________________________EnvironMentors Chapter:________________ Teacher Name:______________________________ 1) Why do you want EnvironMentors in your school? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 2) In my school, EnvironMentors will be run as the □ Class-Integrated Model □ Club Model 3) Will you be integrating EnvironMentors into your curriculum? If so, How? ______________________________________________________________________ ______________________________________________________________________ 4) Will you be grading the students’ EnvironMentors Assignments? If so, will you be using the EnvironMentors Grading Assignment Rubric? If not, what type of rubric will you use? ______________________________________________________________________ ______________________________________________________________________ 5) Goal Number of Students to be Recruited: _______________________________ 6) EnvironMentors Meeting Location, Times, and Days: Room: ______________________________________________________ Building (optional):_____________________________________________ Meeting Day(s):_______________________________________________ Meeting Times: _______________________________________________ 7) With long-term projects, students need motivation to continue working through their projects. EnvironMentors has allotted each chapter money for Student Incentives to be used throughout the year. Please list some ideas you have for using the incentive money and keeping the students motivated. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________