Sigma Xi: The Scientific Research Society: Chapter Model Programs: Education: Scientist in the Classroom

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Scientist in the Classroom Program
This is a sample evaluation form for the scientist.

This is a sample evaluation form. You may want to provide the scientist with an opportunity to evaluate the visit by asking similar questions.

Scientist's Evaluation of Visit

When your visit or activity with students/teachers is completed, take a few minutes to tell us how it went. If the visit did not occur, please explain and return the form to the address below. We need your feedback in order to help ensure the quality and effectiveness of future programs.

Your name:____________________________________

Date of visit:____________________________________

School visited:__________________________________

Grade:______

Teacher(s) visited:_____________________________________________

Approx. number of students involved:______

Topic:______________________________________________________

Type of service provided (check all that apply):

______classroom visit ______science/math festival ______field trip

______mentoring ______tutoring ______demonstration______other

______hands-on activities ______scientific experiment ______discussion

Please rate the visit for the qualities listed below:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
1. Communication with teacher(s) prior to visit went well.	1	2	3	4	5
2. Class was well-prepared for visit.	1	2	3	4	5
3. Teacher was present and actively involved in making visit successful.	1	2	3	4	5
4. Students were enthusiastic.	1	2	3	4	5
5. Visit was well-coordinated well by the Partnership.	1	2	3	4	5
6. Overall visit was positive.	1	2	3	4	5
7. I would volunteer to provide this service again.	1	2	3	4	5

8. Do you have any comments about this particular visit, or in general?

9. If this is the first time you have done this topic, or you have made changes to a previous presentation, please describe what you did and what materials you used for the benefit of other volunteers.