The Writer’s Voice of the Billings Family YMCA

POETS ON THE PRAIRIE   INSTRUCTOR ASSESSMENT

NAME___________________ SCHOOL VISITED______________________________

TEACHER CONTACT (S) _______________     DATE___________________________

1. Total number of students you taught_______________________________________

2. Which grades did you teach? ____________________________________________

3. What was the response of students?

    ______ Enthusiastic ______ Interested ______ Bored ______ Disruptive

   Please explain:

4. What was the response of the school?

    ______ Excited about and prepared for visit    ______ Ready but ambivalent

    ______ Disorganized and surprised to see me  ______ Other

    Please explain:

5. What was the response of the classroom teacher?

    ______ Interested in presentation and excited to participate

    ______ Listened passively and/or spent time on own work

    ______ Out of classroom ______ Other

    Please explain:

6. How many miles did you drive? _________________________________________

7. If appropriate, please send copies of student writings to The Writer's Voice.

8. Any other problems/comments/suggestions?

 (This form can be faxed back to us at 248-3450 or emailed to cskinner@yahoo.com ).