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Tech Prep Modules – Semester Report

Please submit this report to Dorene Perez or Rosie Lynch before the start of final exams in the semester you presented/hosted the modules. Make copies of this report and attach as needed.

Name _________________________ Semester ____________ Year ________

List below all of the NEW modules you presented during the semester.

Module topic ______________________________ Date ___________

Host instructor _____________________________

Module topic ______________________________ Date ___________

Host instructor _____________________________

Module topic ______________________________ Date ___________

Host instructor _____________________________

Module topic ______________________________ Date ___________

Host instructor _____________________________

List below all of the HIGH PREPARATION REPEAT modules you presented during the semester

1.  Module topic ______________________________ Date ___________

Host instructor _____________________________

2.  Module topic ______________________________ Date ___________

Host instructor _____________________________

3.  Module topic ______________________________ Date ___________

Host instructor _____________________________

4.  Module topic ______________________________ Date ___________

Host instructor _____________________________

List below all of the REPEAT modules you presented during the semester: 

1.  Module topic ______________________________ Date ___________

Host instructor _____________________________

2.  Module topic ______________________________ Date ___________

Host instructor _____________________________

3.  Module topic ______________________________ Date ___________

Host instructor _____________________________

4.  Module topic ______________________________ Date ___________

Host instructor _____________________________

List below all of the EXCHANGES you participated in during the semester:

1.  Module topic ______________________________ Date ___________

Other instructor _____________________________

2.  Module topic ______________________________ Date ___________

Other instructor _____________________________

List below all of the modules you HOSTED during the semester:

1.  Module topic ______________________________ Date ___________

Presenting instructor ________________________

Did you participate in presenting the module? ______ yes

2.  Module topic ______________________________ Date ___________

Presenting instructor ________________________

Did you participate in presenting the module? ______ yes

3.  Module topic ______________________________ Date ___________

Presenting instructor ________________________

Did you participate in presenting the module? ______ yes

4.  Module topic ______________________________ Date ___________

Presenting instructor ________________________

Did you participate in presenting the module? ______ yes

5.  Module topic ______________________________ Date ___________

Presenting instructor ________________________

Did you participate in presenting the module? ______ yes