PROJECT LEARNING TREE® PARTICIPANT SURVEY FORM (April, 2016)

Thank you for your interest in Project Learning Tree (PLT), a program of the American Forest Foundation.
Your comments are essential to ensuring PLT programs and materials are as useful as possible for all educators.

I.  Workshop Information: Please use a pen.

Workshop Date: ______/ Workshop Type:
Workshop Location: ______/ c Early Childhood / c Secondary______
Workshop Facilitators: ______/ c PreK-8 / c College/university course
______/ c PreK-12 / c Other______

II. Participant Information:

Name:

School/Organization:

Permanent Mailing Address:

City: ______State: ______Zip:

Email:

1. My position is: c Early Childhood Teacher c Elementary Teacher c Middle School Teacher c High School Teacher

(check all that apply) c Homeschool Educator c Pre-service Ed. faculty c Other College faculty c Preservice/University Student

c Nonformal Educator (4-H, nature staff) c Natural resource professional c Administrator c Other______

2. What is the primary demographics of those you teach: c Urban c Suburban c Rural

3. How many youths/adults do your reach in a typical year: ______

4. In what subjects will you use PLT? c Science c Social Studies c Math c Language Arts c Reading

(check all that apply) c Physical Education c Visual Arts c Performing Arts c Special Education c Other: ______

5. How often do you think you will use PLT activities? c Weekly c Monthly c Several times a year

By providing us with your contact information you accept the practices described in Project Learning Tree’s
Privacy Policy, a copy of which can be found at www.plt.org.

6. How did you learn about PLT? c Colleague c School Administrator c Professional Organization c Conference/Exhibit

(check all that apply) c Social Media c Website c Publications (PLT newsletter, brochure, flyer) c Magazine/newspaper/radio

c Check box if you would like to receive news, resources, grant offers, and opportunities to support FL PLT.

III. Workshop Evaluation:

L Disagree Agree J
A. The information, strategies, and instructional methods shared were helpful to you. / 1 2 3 4 5
B. The workshop prepared you to use the PLT materials with your audience. / 1 2 3 4 5 NA
C. PLT materials will help you address state academic standards. / 1 2 3 4 5 NA
Needs Improvement Excellent
D. The facilitators for this workshop were: / 1 2 3 4 5
E. Overall this workshop was: / 1 2 3 4 5

F. The greatest value of the workshop for use with your audience was:

G. How could the workshop be improved?

H. Additional Comments (Use back if necessary):

By providing us with your contact information you accept the practices described in Project Learning Tree’s
Privacy Policy, a copy of which can be found at www.plt.org.