Judges in the Classroom Feedback Form
Teachers, thank you for taking part in our program! Comments reflecting the experience for your students helps us improve and make adjustments, as needed.
Date of Submission
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Month
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Day
Year
Date
Hour Minutes
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AM/PM Option
My Request:
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was matched
was unresponded to
was unsuccessful, we couldn't find a time.
If a match was not made, you do not need to continue past this field. Please do try again, we'd love to meet your class!
Date of Visit
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Month
-
Day
Year
Name of Guest Judicial Officer
First Name
Last Name
I am a:
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Teacher
Paraprofessional
Student Teacher
Other
If "Other", please define your role:
Ex: Teaching Fellow, Community Member, etc.
Teacher Name
*
First Name
Last Name
School Name
*
County
*
Please Select
Alameda
Alpine
Amador
Butte
Calaveras
Colusa
Contra Costa
Del Norte
El Dorado
Fresno
Glenn
Humboldt
Imperial
Inyo
Kern
Kings
Lake
Lassen
Los Angeles
Madera
Marin
Mariposa
Mendocino
Merced
Modoc
Mono
Monterey
Napa
Nevada
Orange
Placer
Plumas
Riverside
Sacramento
San Benito
San Bernardino
San Diego
San Francisco
San Joaquin
San Luis Obispo
San Mateo
Santa Barbara
Santa Clara
Santa Cruz
Shasta
Sierra
Siskiyou
Solano
Sonoma
Stanislaus
Sutter
Tehama
Trinity
Tulare
Tuolumne
Ventura
Yolo
Yuba
County where your school is located
Number of students (approx)
Subject
Please Select
Elementary - All Subjects
English/Language Arts
History/Social Sciences/Ethnic Studies
Math
Science
English Language Development/Immersion Program
Career Technical Education
Computer Science
Health Education
Physical Education
Visual and Performing Arts
World Language
Other
Lesson Used:
*
No Animals Allowed
Salem Witch Trials
No Vehicles Allowed
Riley v California
Si Se Puede!
Constitution Month: "We Are All Equal"
Constitution Month: "No Animals Allowed"
The Constitution
Voter Rights and the Constitution
Sleepy Lagoon & Zoot Suit Trials
The Trial of Susan B. Anthony
Other
If "Other" please elaborate below:
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For the following, please rate your feedback on a scale of 1-5 (5 being excellent, and 1 being very poor).
On a scale of 1-5, how well did your judicial volunteer cover the lesson/scope that you requested of them?
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Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Any specific notes or feedback?
On a scale of 1-5, how engaging and meaningful was your judicial volunteer's lesson for your students?
*
Very Poor
1
2
3
4
Excellent
5
1 is Very Poor, 5 is Excellent
Any specific notes or feedback?
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Next
What learning goals were achieved through this lesson?
*
Understanding the role of the judicial branch
Students know more about what a judge does
Understanding the role of the three branches of government
Understanding students' own role in their democracy/government
Critical thinking skills
No learning goals were achieved in this lesson
Other
If "Other" please elaborate below:
Any final questions, comments, or concerns about the lesson or program?
Please let us know any last feedback you would like to give us to help improve our program for future classrooms!
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