Please complete the approprate items in the form.  Most items are not required, but provide helpful information to anyone who would like to use your activity.

Title of the activity:

Course Number/Title

Major Learning Outcome/course objective targeted by this activity

Activity type

CTRL-Click to select (or de-select) more than one option in the dropdown box above

5.

This activity is suited for:

6.

Time required to complete the activity:

Assessment (i.e., how will you know students have mastered the objective?  You may include an assessment as an attachment.)

Short description of the activity

Materials required:

Step-by-step directions to the instructor:

Additional practice:

Reflection questions to ask students at the end of the activity:

Variations:

Attachments (handouts, readings, slides, tests):  Please provide a list here ...
Please submit any attachments using the drop box underneath this form or email them to grinnell.lynn@spcollege.edu using the same name as above.
Please provide the following information about yourself.
If you have any questions or comments about this form, please contact Lynn Grinnell at Grinnell.Lynn@spcollege.edu or call (727)341-3110