| 1. Reserve Name: |
| 2. Program name: |
| 3. Is this program for K-12 students or teachers? ___ K-12 ___ Teachers |
| 4. Please write a short description (2-3 sentences) of the program. |
5. What are the main topics of the program? Choose all the apply.
___ Estuary biology and ecology
___ Commercial and economic uses of the estuary
___ Estuary history and culture
___ Chemical/ physical/geologic sciences
___ Visual/literary/performing arts
___ Management (how government agencies take care of estuaries)
___ Citizen stewardship (what citizens can do to help including how to influence management)
___ Human impacts on estuaries including land use
___ Other:_____________________
|
6. What form is the program in? Choose all the apply.
___ Presentation
___ Guided walk/hike
___ Hands-on activities
___ Self-guided walk/hike
___ Workshop
___ Field investigation/ research
___ Distance/ on-line
___ Other____________________
|
7. If the program is a K-12 program, what grade level does the program address? Choose all that apply.
___ K-3rd
___ 4th-5th
___ 6th-8th
___ 9th-10th
___ 11th-12th
___ Other:________________
|
8. If the program is a PTD program, what grade level educator is the program targeted at? Choose all that apply.
___ K-3rd educators
___ 4th-5th educators
___ 6th-8th educators
___ 9th-10th educators
___ 11th-12th educators
___ Other:________________
|
| 9. Approximately how many participants attend this program per year? ______ |
10. Where is the program conducted?
___ At the Reserve
___ At a school
___ Other:__________________
|
11. In what setting is the program conducted? Choose all the apply.
___ Indoors
___ Outdoors on land (non-water area)
___ Outdoors on a boat
___ Outdoors in the water but not on a boat
___ Other:________________
|
12. Who teaches the program? Choose all the apply.
___ The Education Coordinator
___ A paid staff member other than the EC. Please indicate which one
___ Reserve Manager
___ Research Coordinator
___ Stewardship Coordinator
___ Volunteer(s)
___ An outside person not associated with the Reserve
___ The classroom teacher
___ The program is self-led
___ Other(s):________________________
|
|
13. What materials do participants receive for the program. Choose all the apply.
| Before Program |
During or At Program |
After Program |
____ nothing
____ worksheets
____ handouts
____ posters
____ video
____ slides
____ over heads
____ CD Rom
____ curriculum
____ power point
____ other: __________ |
____ nothing
____ worksheets
____ handouts
____ posters
____ video
____ slides
____ over heads
____ CD Rom
____ curriculum
____ power point
____ other: __________ |
____ nothing
____ worksheets
____ handouts
____ posters
____ video
____ slides
____ over heads
____ CD Rom
____ curriculum
____ power point
____ other: __________ |
|
14. How are your programs marketed? Choose all the apply.
___ Directly to individual school principals
___ Directly to individual school department head/coordinators
___ Directly to individual school teachers
___ To school district coordinators (science, curriculum, etc.)
___ Word of mouth
___ Reserve newsletter
___ Local newspaper
___ Local television
___ Directly to past participants
___ Other_____________________________________
|
15. To what extent does the program incorporate the following:
| Results of Reserve research |
1 2 3 4 5
|
| The scientific process of research |
1 2 3 4 5
|
| Reserve scientists in programs |
1 2 3 4 5
|
| Hands-on learning opportunities |
1 2 3 4 5
|
| Data collection by participants |
1 2 3 4 5
|
|
16. Did you partner or work with other groups or institutions to offer this program?
___ No
___ Yes, with whom do you partner/ work? ________________________
|
17. Where do you get funding for this program? Choose all the apply.
___ Internal budget
___ From a partner
___ Through a grant or proposal
___ Funded by participants
___ Other:_____
|
18. If there is a participant or per student fee for this program, what is it?
___ The program is free for participants
___ The program has a group fee, see next question
___ $.01-$5.00
___ $5.01-$10.00
___ $10.01-$15.00
___ $15.01-$20.00
___ More than $20.00
|
19. If there is a group fee for this program, what is it? If this question does not apply to this program, skip to the next question.
___ $.01-$10.00
___ $10.01-$20.00
___ $20.01-$30.00
___ $30.01-$40.00
___ $40.01-$50.00
___ More than $50.00
|
20. If busses are used to transport students to your program, who pays? If this question does not apply to this program, skip to the next question.
___ The Reserve
___ The school
___ The students
___ Other___________________
|
21. How important were the following in your decision to develop and offer this program?
| We conducted a needs assessment that indicated this program was desired/needed |
1 2 3 4 5
|
| The program meets funding agency guidelines or requirements |
1 2 3 4 5
|
| The program is part of a Reserve initiative |
1 2 3 4 5
|
| It has been done for a long time |
1 2 3 4 5
|
| It is requested frequently |
1 2 3 4 5
|
| It fits in with an individual school’s curriculum |
1 2 3 4 5
|
| It fits in with a school district’s curriculum |
1 2 3 4 5
|
|
| 22. Is the program correlated with national education standards? Yes No |
23. Is the program correlated with state education standards? Yes No
|
24. What type of formal evaluation has been done for this program? Choose all the apply.
___ No formal evaluation has been done
___ Counts of the number of people who participate in a program
___ Feedback cards
___ Follow-up survey (mail or phone) of participants
___ Staff observation of the program
___ Outside assessment (by separate party)
___ Onsite pre and post survey of program participants to measure change in knowledge, attitudes, or behavior
___ Other:_______________
|
25. Are there written objectives for the program?
___ yes ___ no
|
| 26. If yes, what are they? Remember if you have them written in some electronic format, you can copy and paste them into the following text box. |
27. Do you have any formal curriculum or lesson plans that have been developed for this program?
____Yes ___ No
|
