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March 2010 MASD Instructional Paraeducator In-service Evaluation Form Use for Make-Up Sessions Important You must complete and turn in this form to receive credit for this program. If this form is incomplete you may not receive proper credit. Please print all information neatly. Provide your signature where indicated* Printed Name Title of Professional Development Activity Name of Instructor Hours Earned for Program Date I confirm that I have attended the above professional development session* Sign here Please rate the following by circling the number of your response. poor excellent Value of knowledge gained in this program Instructor s ability to facilitate this program Objectives were clearly stated Presenter met the stated objectives Comments Briefly answer the following open-ended questions. How will this information benefit you as you perform your paraprofessional duties What were the main strengths of this program How could this program be improved in the future Administrator Signature Tear this bottom portion off to keep as your receipt of participation in this program* Turn in the above evaluation form to Michael Haseltt Pupil Services Director for review/confirmation* Class Hours Credited. Please print all information neatly. Provide your signature where indicated* Printed Name Title of Professional Development Activity Name of Instructor Hours Earned for Program Date I confirm that I have attended the above professional development session* Sign here Please rate the following by circling the number of your response. poor excellent Value of knowledge gained in this program Instructor s ability to facilitate this program Objectives were clearly stated Presenter met the stated objectives Comments Briefly answer the following open-ended questions. poor excellent Value of knowledge gained in this program Instructor s ability to facilitate this program Objectives were clearly stated Presenter met the stated objectives Comments Briefly answer the following open-ended questions. How will this information benefit you as you perform your paraprofessional duties What were the main strengths of this program How could this program be improved in the future Administrator Signature Tear this bottom portion off to keep as your receipt of participation in this program* Turn in the above evaluation form to Michael Haseltt Pupil Services Director for review/confirmation* Class Hours Credited. Please print all information neatly. Provide your signature where indicated* Printed Name Title of Professional Development Activity Name of Instructor Hours Earned for Program Date I confirm that I have attended the above professional development session* Sign here Please rate the following by circling the number of your response. poor excellent Value of knowledge gained in this program Instructor s ability to facilitate this program Objectives were clearly stated Presenter met the stated objectives Comments Briefly answer the following open-ended questions. How will this information benefit you as you perform your paraprofessional duties What were the main strengths of this program How could this program be improved in the future Administrator Signature Tear this bottom portion off to keep as your receipt of participation in this program* Turn in the above evaluation form to Michael Haseltt Pupil Services Director for review/confirmation* Class Hours Credited.

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