Directed Study Proposal Form
Course No.
Credits
Minimum Total Hours
_______________________
_________
____________ (Each credit requires 40 clock hours of activity)
Date
Name Student #
__________________
________________________________________ __________________
1. Project Title and Description:
2. Learning Objectives:
3. Activities:
4. Final Products: (e.g., course outline, lesson plans, evaluation, progress reports).
List ALL components that you will submit for grading.
5. Time Schedule: (List proposed dates for three progress reports and a final report).
Report
Date
1
st
Interim
2
nd
Interim
3
rd
Interim
Final
Final reports are to be turned in by the Friday preceding” Dead Week” of each semester.
____________________________
Student Signature Email Phone
Advisor Signature Email Phone
______________________ _______________
____________________________ ______________________ _______________
Revised July 2012
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Evaluation Form for Teaching/Training Projects
Department of Organizational Learning and Performance
(To be completed for the training portion of directed study, if applicable)
Please rate the presenter and presentation being evaluated, using the Likert Scale form below, with a "1" being
Well Below Expectations, "2" being Below Expectations, "3" being Average , "4" being Above Expectations,
and "5" being Well Above Expectations. You are welcome to add comments at the bottom of the form. Thanks
for your cooperation.
Likert Scale Items Well Below Average Above Well
Below Above
Evidence of preparation to teach 1 2 3 4 5
Organization of the lesson plan 1 2 3 4 5
Stating of the lesson objective(s) 1 2 3 4 5
Introduction of the subject(s) 1 2 3 4 5
Knowledge of subject being taught 1 2 3 4 5
Use of visual aids 1 2 3 4 5
Use of handouts 1 2 3 4 5
Giving of directions 1 2 3 4 5
Clarity and volume of voice 1 2 3 4 5
Use of the English language 1 2 3 4 5
Answering of student questions 1 2 3 4 5
Eye contact with learners (trainees) 1 2 3 4 5
Overall enthusiasm 1 2 3 4 5
Name of person being evaluated Date
_____________________________ ____________________
Name of evaluator (Project Supervisor) ________________________________________
General Comments