Texas PLT Program Reporting Form
Name of School or Sponsoring Organization(s)
Program/Activity took place on:
Is this Program/Activity ongoing throughout the school year?
No, one time
Number of Participants
(check all that apply)
Primary school children (preK-2)
Upper elementary schoolchildren (3-5)
Middle school students (6-8)
High school students (9-12)
Early childhood teachers
Type of Presentation
Check all that apply
Hands on activity in a classroom setting
Hands on activity in an informal or outreach setting
Lecture style presentation
Informal presentation promoting Texas PLT
Conference session promoting Texas PLT
Exhibit booth promoting PLT
Additional comments about how and where PLT activities were used.
Please estimate the number of hours you spent preparing for the program/activity.
Please estimate the number of hours you spent following up on the program/activity.
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