HS Technology Integration Initiative Assessment
Coaches, record your classroom observations and notes from coaching sessions below. Complete this form once for each of your teachers. Note: When you click submit the page will automatically return to the empty form again without any indication the form was submitted. It did.


General Information
First Name 
Last Name 
School or Program
Other School Program (if not listed above) 
Indicate the software titles where the above teacher gained new technology integration proficiencies.
New Software Proficiency 1
Indicate the software titles where teachers gained new proficiencies.
New Software Proficiency 2
Indicate the software titles where teachers gained new proficiencies.
New Software Proficiency 3
Indicate the software titles where teachers gained new proficiencies.
New Software Proficiency 4
Indicate the software titles where teachers gained new proficiencies.
New Software Proficiency 5
List software titles if not offerd in above list 
Comfort Level and Frequency of Usage
Frequency of technology usage before Integration Initiative participation.
On a scale of 1 - 10 (10=high) where do you see the teacher regarding *** comfort level *** with educational technology
On a scale of 1 - 10 (10=high) where do you see the teacher regarding *** interest level *** with educational technology
General Comments