Teacher Verification Model
Lesson Submission Form
Section 1: General Information
First Name
*
Last Name
*
Email
*
Program
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Please Select
Adult Literacy Plus of Southwest AZ
Arizona Center for Youth Resources
Arizona Department of Education, Adult Education Services
Arizona Western College
Cochise College
Coconino Community College, Adult Basic Education for College & Careers
Central Arizona College
Friendly House Inc
Gila County Adult Education
Gilbert Adult Learning Program
International Rescue Committee
Literacy Volunteers of Maricopa County
Maricopa County Adult Probation
Mesa Unified District
Mohave Community College
Northland Pioneer College
Pima College Adult Basic Education for College & Careers
Queen Creek Unified School District
Rio Salado College Adult Education
Santa Cruz County Continuing Education
South Yuma County Consortium
Yavapai College Adult Education
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Section 2: Lesson Details
Lesson Title
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Lesson Context
*
Please Select
Prework
Primary Lesson
Extension of Learning
Is this lesson digital (computer/electronic) or non-digital (paper/pencil)?
*
Please Select
Digital Lesson (computer/electronic)
Non-Digital Lesson (paper/pencil)
Subjects Areas
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Domain(s)/Indicator(s)
*
AZ Adult Education Standards Addressed (more information at: https://www.azed.gov/adultedservices/aes-professional-learning-pl-hub)
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Lesson Breakdown
Description of activity (ex: watch YouTube video “Multiplying Fractions”)
Link (or non-digital resource title)
Assigned Proxy Time (Write all times in minutes, ex: 1hr 30 min = 90minutes)
Total Proxy Time
(Automatically calculated - Do not edit)
Total Lesson Time in Minutes
Lesson Breakdown [Text]
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Section 3: Lesson Accessibility
Select accessibility features based on the bulk or main activity of the lesson
Is this lesson…
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Made for adult learners
Appropriate for adult learners (such as utilizing a K-12 resource)
Is this lesson (and resources) free to use?
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Yes
No
Does this lesson (and resources) require a log-in to use?
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Yes
No
N/A (Non-Digital Resource)
Is this lesson (and resources) smartphone compatible?
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Yes
No
N/A (Non-Digital Resource)
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