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Continuing Education Activity Plan

Instructor’s Form

 

Note:

This form is to be completed by either the instructor or RID Sponsor and attached with the Sponsor. The RID Sponsor will forward the completed Activity Plan to the RID National Office at least 30 days in advance of the activity.

 

RID Sponsor Name:  ________________________________________________________________

 

Date(s) of Activity:  _________________________________________________________________

 

Title of Activity:  ___________________________________________________________________

 

Description of Activity (Describe key topics, skills, concepts and activities of the event. Use back of form for additional space)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Educational Objectives (List specific observable actions by participants that will demonstrate comprehension and integration of information presented. These should be detailed, action-related items based on materials presented.)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Materials (List the print, audio and visual materials you will use. Who is responsible for providing them?)

____________________________________________________________________________________

 

Action Plan (Describe or outline the specific activities which will occur during this program. These activities are to support and help meet the Educational Objectives listed above.)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Evaluation & Assessment (Describe how you will evaluate student learning & presentation effectiveness.)

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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