A-CHILL Teacher Reporting Form Data - School Year 2018-2019
For use by participating Teachers in Alaska Gateway and Yukon Koyukuk to report on related A-CHILL activities (i.e., In-Kennel Classes, Local Culture Expert presentations, field trips, etc.)
Your Name *
Your answer
Type of Activity
Community *
Date of Activity *
MM
/
DD
/
YYYY
Start Time *
Time
:
End Time *
Time
:
Topics Covered & Description of Activities *
Your answer
# of Students *
How many students participated in this project?
Your answer
Students of what grade level(s) participated? *
Names of other adults engaged in activity with students (if applicable)
LCE:
Your answer
Dog Musher:
Your answer
Volunteer:
Your answer
Guest Speaker:
Your answer
Other teachers or assistants:
Your answer
Comments
Successes *
Your answer
Challenges
Your answer
Other Comments
Your answer
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