Semester_____________
Date of module____________
Type of Prep: ______ New
______ Repeat High Prep
______ Repeat
______ Exchange
Title of Module: _______________________________________________
Presenter ____________________________________________________
Host _______________________________ Host participating ________
Class involved in module: _______________________________________
Brief explanation of module:
Response of students to module (From a CAT – clearest or muddiest point, focused listing point, etc.):
Comments from Presenter:
Comments from Host: