Request edit access
Quarterly Technology S.A.M.R. Survey
Documentation of lessons that integrate technology use with students.
Did you collaborate with Sean for this lesson?
Yes, we co-planned and co-taught the lesson.
Yes, we co-planned but did not co-teach the lesson.
Did you collaborate with/co-teach this lesson with anyone else? If so, who?
Choose one that best describes the collaboration
Unscheduled face to face meeting
Face to face meeting after I put in a "Coach Me" ticket
Purpose of Technology
Interactive Whiteboard lesson
Center rotation in classroom
Laptops in classroom
iPads in classroom
Whole group lesson - Interactive Whiteboard
Brief Description of Lesson (Write at least two sentences describing what students were expected to do)
What level on the S.A.M.R. model does this lesson fall?
Reflection on how the lesson went: (Think about student reaction, student learning, and what worked well or didn't work well)
Would you do this lesson again?
Yes, but with changes
Is there anything you need assistance with to make this lesson more effective in the future?
Never submit passwords through Google Forms.
This form was created inside of Antietam Elementary School.
Terms of Service