Please complete this form and submit with your submission
videos. This information provides program context for
the certification review and serves to assure that you
have included these elements in your program planning
and preparation. (View a Sample
Questionnaire)
Describe your group: (i.e., group name/age/grade/special
circumstances)
Describe how your program was curriculum-based
and identify or list the group's pre-determined
learning and/or educational objectives. (Be specific -- the reviewers cannot assess your
submission without this information. List only those
learning objectives that were relevant to your presentation
on the video. See "Key Submission Points"
in the Submission Guidelines.)
Briefly describe what pre-visit preparation was
completed by the group to prepare them for the site
visit/presentation and begin the sequence of learning?
(i.e., introductory reading material, worksheets,
briefings, activities, goal-setting)*
Briefly describe what post-visit activity or
follow-up was planned and/or accomplished by the group
after this visit/presentation to affirm learning or
extend the learning experience? (i.e. follow-up
activities, reports, role-plays, tests, integration
with additional learning units)*
*It is not necessary to send/attach
program materials, such as teacher guides, student activity
handouts, etc, as these will not be considered in the
review. Your description of the sequence of learning
activities is sufficient to provide program context
for the reviewers.
