Technology Proficiencies – Teachers Level 4 – Technology as a Tool-Integrated Lesson
Lesson Plans	Teacher Reflection
Teacher Standard: 5.18s, 5.3s PDAS: VIII-1	Teacher Standard: 5.7k PDAS:
qInterdisciplinary Lesson Plan 1 Lesson Title:________________________________ Date taught:________________________________ qCo-planned Lesson Plan 2 Lesson Title:________________________________ Co-planned with Teacher:________________________ Date taught:________________________________	q Interdisciplinary Lesson 1 q Co-planned Lesson 2
Integration Procedures	Teacher Collaboration
Teacher Standard: PDAS:	Teacher Standard: PDAS:
Equipment used (ie. projector, laptop, digital camera, video, etc.) Interdisciplinary Lesson 1:_______________________ ____________________________________________ ____________________________________________ Co-planned Lesson 2:__________________________ ____________________________________________ ____________________________________________	qShared Interdisciplinary Technology Lesson on ____________________________Date:__________ Signatures of teachers attending: ___________________________________________ ___________________________________________ ___________________________________________ qShared Co-planned Technology Lesson on ____________________________Date:__________ Signatures of teachers attending: ___________________________________________ ___________________________________________ ___________________________________________
Technology Used	Training Database (6 Hours)
Teacher Standard: 1.16s PDAS: II-9	Teacher Standard: 5.17s PDAS: VI-1
List applications and / or sites used for lessons. Interdisciplinary Lesson 1: ____________________________________________ ____________________________________________ ____________________________________________ Co-planned Lesson 2: ____________________________________________ ____________________________________________ ____________________________________________	Technology Professional Development hours: Training Date 1._____________________________________ 2._____________________________________ 3._____________________________________ 4._____________________________________ 5._____________________________________ 6._____________________________________ 7._____________________________________
Student Connectivity	Completed Level 4
Teacher Standard: 3.10s, 3.12s, 3.13s, 3.14s, 4.3k, 4.10s, 4.11s,4.12s, 5.4s, 5.14s,5.15s PDAS:	Teacher Standard: 5.18s PDAS: II-9
Student Evaluations: Interdisciplinary Lesson 1 Student Names: ___________________________________________ ___________________________________________ qSample Student Products qEvaluation criteria or rubric for student product Student Name, File Name, and location of product: ___________________________________________ ___________________________________________ Co-planned Lesson 2 Student Names: ___________________________________________ ___________________________________________ qSample Student Products qEvaluation criteria or rubric for student product Student Name, File Name, and location of product: ___________________________________________ ___________________________________________	Notes: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ Track: Short or Long Date completed:_________________________ Incentive working for:_____________________ Date Incentive received:___________________

Notes Printed Documentation Needed in Portfolio

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