Middleton and Rochdale City Learning Centres
Pre-visit Data Collection Form
School:
Date of visit:
[dd-MMM-yyyy]
Time of visit
-Select-
AM Only
PM Only
ALL Day
Year Group:
Group Size:
Boys:
Girls:
Telephone number:
Class teacher:
Class teacher email address:
Other support staff:
Details of any pupil medical conditions:
Special requirements (equipment, access, etc):
Topic Specifics (QCA Units / Scheme of Work)
Session expectations:
What work will the children undertake in preparation for the sessions at the CLC?
Preparation work:
How do you envisage evaluating the success, or otherwise, of the session?
Evaluating success of session:
The class teacher will be required to complete an evaluation form at the end of the project.
It is understood that all visiting staff will actively participate in CLC led sessions.
Are staff happy to take an active role as a learner or supporting delivery?
Happy to support:
-Select-
Yes
No
Schools are required to obtain paretnal consent for photographs/video to be taken during visits to the CLC. Images may be used in CLC publicity (website, newsletters, etc).
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