Wufoo

Technology Integration Form

Use the following form to help outline a classroom lesson or project. This information will be useful to help align technology integration opportunities with your classroom practices.

Name * First Last
Email *
School *
Elementary School Middle School High School
Grade/Subject
Lesson/Project Outline

Please fill out the information below to help describe what it is you hope to do and so that we can begin to think about how technology can most effectively enhance this learning experience for your students.
Lesson/Project Overview *

Please write out a brief overview of the lesson or project . Describe what students are learning about or what you hope they will learn through this lesson.
Learning Objectives

Use this space to provide more specific learning objectives that that you intend students will meet through this lesson or project.
Resources
Laptop Cart LCD Projector Library Media Center Lab Printing Internet Digital Camera(s)
Other resources
Next Steps

Please include the following information so I can follow up on your request...
When would you like to meet? MM / DD / YYYY
Select a day that you like to meet. If I am unable to meet at this date/time I will come see you and work out another meeting time.
When is the best time to meet?

Please provide information about times you could meet on the date you have selected.
Do Not Fill This Out

Wufoo

Technology Integration Form

Lesson/Project Outline

Next Steps