Your full name:

Your email address: (e.g.: you@aol.com)

High School

Address

City

Zip Code

Year and Title of Project

1. The first school year the project’s lesson plan was integrated into present curriculum was __________ school year.

2. The number of students that have been exposed to the material since incorporation into the curriculum ____________

3. Have any additional teachers incorporated this activity into their curriculum? Yes or NO

4. If the answer to #4 is yes, a) How many additional teachers? _________

5. If the answer to #4 is yes, b) How many students were exposed as a result of these teachers? __________

6. Approximately what percentage of these students are Female?

7. Approximately what percentage of these students are Minority?

8. Was the material favorably accepted by the students? Yes or No

9. Was there an adequate supply of material needed for the presentation? Yes or No

10. Have you availed yourself to the CMU Web site http://mimp.materials.cmu.edu for additional topics of interest? Yes or No

11. Suggested recommendations for continuing the incorporation of the material in the curriculum?