Course Evaluation & Clock Hour Request
For Clock Hour Approval, Participants must complete this form within 2 weeks of taking the course.
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First Name *
Last Name *
E-mail Address *
Name of the Course *
Date of the Course *
If longer than one day, enter the first date of the course
MM
/
DD
/
YYYY
Preparation and Knowledge of the Presenter *
Poor
Excellent
Quality and Relevance of the Presentation *
Poor
Excellent
Extent to which the course description and objectives were met *
Poor
Excellent
Reflection on next steps for implementation.
Suggestions and/or Comments
Testimonial / Quote
(Optional) We would like to invite you to share your experience on our website and in future presentations. Please feel free to leave a quote below with your name and school/district/or position. Thank you!
Clock Hours *
Are you requesting clock hours for this course?
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