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.
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