19-teacher_planning_form-2012

Student Liaison 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/Program Name: ____________________EnvironMentors Chapter:______________ Teacher/CA Provider Name:______________________________ 1) Why do you want EnvironMentors incorporated into your school/CA Program? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 2) In my school/ CA Program, 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. Please list some ideas you have for using the incentive money and keeping the students motivated. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________