Last Name
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First Name
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Your Full PCS Email Address, including @pcs.k12.va.us
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Your School
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Select Below:
Alternative School
Brosville Elementary
Chatham Elementary
Chatham Middle
Chatham High
Dan River Middle
Dan River High
Gretna Elementary
Gretna Middle
Gretna High
John L. Hurt Elementary
Kentuck Elementary
Mt. Airy Elementary
Pittsylvania Career Tech Center
Southside Elementary
STEM Academy
Stony Mill Elementary
Tunstall Middle
Tunstall High
Twin Springs Elementary
Union Hall Elementary
Name of Lesson
Source lesson plan
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Select Below:
Self
Colleague
Resource Publication
Internet (enter URL below)
Other
If URL, Please Enter Web Site Address:
Goal/Objective of the Lesson/Plan
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SOL Addressed
Materials (Include software/peripherals used)
Procedures (Please list step by step)
Assessment of lesson/project: What method did you use to assess your students? Ex: Rubric, lab worksheets, etc.)
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Attach sample copy of requested documentation (Word, Excel, PowerPoint, PDF, etc.)
Attach sample copy of requested documentation (Word, Excel, PowerPoint, PDF, etc.)
Attach sample copy of requested documentation (Word, Excel, PowerPoint, PDF, etc.)