2. Name*
3. Grades or Age Group Taught*
5. School*
6. Title of Lesson Plan*
8. Courses Taught*
9. Employer location for Externship*
11. Did you discuss setting up a facility tour for students or classroom visit by the employer in the fall semester?*

    1. Yes
    2. No

13. Lesson Plan Information

15. What is the learning objective?*

19. Warm Up

21. Anticipated amount of time*
23. Explanation of Activity*
25. Resources Needed for Warm Up*

29. Introduction/ Input

31. Anticipated amount of time*
33. Explanation of Activity*
35. Resources needed for Introduction/ Input*
37. How will I check for understanding?*

41. Guided Practice (We Do)

43. Anticipated amount of time*
45. Explanation of Activity*
47. How will I check for understanding?*
49. Resources needed for Guided Practice:*
51. Questions I'll ask my students:*

55. Independent Practice (You Do)

57. Anticipated amount of time*
59. Explanation of Activity*
61. How will I check for understanding?*
63. Resources needed for Independent Practice:*
65. Questions I'll ask my students:*

69. Closure

71. Anticipated amount of time*
73. Explanation of Activity*
75. Resources needed for Closure:*
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77. 1. Receive an email copy of this form.
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