Name:
Subject you teach:
(please note, if you teach multiple topics, please fill out a form for each subject)
Please answer the follwing questions accordingly, by selecting either: yes, no or N/A.
1. Technology Increases my students' motivation:
2. My students use Technology to acquire basic skills:
3. My Students use technology to become more critical thinkers:
4. My students use technology to help them construct new knowledge:
5. My students use technology to solve real life, relevant problems:
6. My students use technology to discover concepts and prove relationships:
7. My students use technology to communicate knowledge and information:
8. My students are able to have classes in the computer labs, if reservations are made several days in advance:
9. My students have access to school computer for assignments:
10. Check all of the technologies which you currently employ with your students:
Word Processors
Integrated Learning Systems (e.g., Jostens, Writing to Read, etc...)
Spreadsheets
Games (tutorials and basic skills development)
Special Applications for Reading, Math etc... (e.g. Accelerated Reader, Kurzweil, etc...)
E-mail
WorldWideWeb/Internet
Presentation Software (e.g., Powerpoint, keynote)
Graphing Calculators
Probes for data acquisition(temperature, mass, etc.)
11. Please check all of the statements that best describe your own use of technology:
I use technology applications such as word processors and spreadsheets to produce materials for use with my students.
I use online resources to find materials relevant to my curriculum.
I use presentation software and hardware within my classroom.
I use e-mail to contact peers and experts both inside and outside the district
I use email to communicate with parents and students
I use technology to maintain student records (e.g.,IgPro, etc...)
I use technology to monitor student performance (e.g., electronic porfolios)
I believe that I can recognize the ethical use of technology.
I model the ethical use of technology with my students.
12. My Building technology coordinator has helped me implement the district technology standards (N/A is this is not applicable)
13. My building technology facilitator has assisted me when Ihave needed help. (N/A if this is not applicable)
14. District-level technology coordinator(s) have assisted me in implementing standards and integrating technology (N/A if this is not applicable)
These last two questions use a scale between 1 and 5, the values areas follows
1 being never, 2 being rarely, 3 being occasionally, 4 being often, 5 being daily.
15. I use a variety of teaching strategies which incorporate technology use (choose one on a scale of 1 to 5)
5 4 3 2 1
16. The learning activities I develop require students to use technology (this uses the same 1 to 5 ratio)
1 2 3 4 5
Additional Comments: