Evaluation Check Sheet
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!"#$%#&'()*+,-./0,--&* ! "#$%!&#''()*+!,-..!/(!0(.12$.!-)!-'1%#3-)4!*0(!-)+*%$&*-#)5.!15&654(!1%-#%!*#! ,-7(+1%(57!$+(8!!9.(5+(!%(+1#)7!*#!*0(!2#..#,-)4!:$(+*-#)+8!!;**5&0!577-*-#)5.! +0((*+!-2!)((7(7!*#!(<1.5-)!5)=!)#!%(+1#)+(+8! !
1-02()0-* 3-0* 4(* 4(&*#22$'.#5$-* 6%-0&'()*************************************************789******789*************789* ! "#!$%&'()*'$#%+,!-+'.($+,&!*,.+(,/!&'+'.!'0.! 1.(2#(-+%*.!#34.*'$5.&!.61.*'.78!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!!9!!:! ! "#!'0.!$%&'()*'$#%+,!-+'.($+,&!+11.+(!'#!! -+'*0!'0.!,.+(%.(!*0+(+*'.($&'$*&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! "#!'0.!$%&'()*'$#%+,!-+'.($+,&!&)11#('!! ;0.!1.(2#(-+%*.!#34.*'$5.&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! <&!'0.!*#%'.%'!#2!'0.!$%&'()*'$#%!*#-1,.'.8!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! <&!'0.!*#%'.%'!#2!'0.!$%&'()*'$#%!)1!'#!7+'.8!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! =(.!,.+(%.(&!>$5.%!+7.?)+'.!#11#(')%$'$.&! '#!(.*.$5.!$%2#(-+'$#%!+3#)'!'0.!*#%'.%'8!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! =(.!,.+(%.(!>$5.%!+7.?)+'.!#11#(')%$'$.&!! '#!1(+*'$*.!#(!+11,/!@0+'!'0./!,.+(%8!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!9!!:!!!!!!!!!!!!!!!!9!!:! ! =(.!,.+(%.(&!>$5.%!+7.?)+'.!#11#(')%$'$.&!! '#!(.*.$5.!2..73+*A!#%!0#@!@.,,!'0./!! +11,$.7!@0+'!'0./!,.+(%.78!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! ! =(.!'0.!$%&'()*'$#%+,!-.'0#7&!+11(#1($+'.!! 2#(!'0.!'+(>.'.7!,.+(%.(&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! ! "#!'0.!$%&'()*'$#%+,!-.'0#7&!&)11#('!'0.!! 1.(2#(-+%*.!#34.*'$5.&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! ! =(.!'0.(.!#'0.(!$&&).&!'0+'!/#)!%#'$*.7!'0+'!! *#),7!$-1(#5.!'0.!$%&'()*'$#%8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! !!"#$%&#'(%)&%#*%&+,-.%/# ! ! This worksheet/job aid was adapted from Mastering the Instructional Design Process, (2nd Ed.) (1998), Rothwell, William J. & Kazanas, H. C., Josey-Bass/Pfeiffer, San Francisco.
1-02()0-* 3-0* 4(* 4(&*#22$'.#5$-* 6%-0&'()*************************************************789******789*************789* ! "#!$%&'()*'$#%+,!-+'.($+,&!*,.+(,/!&'+'.!'0.! 1.(2#(-+%*.!#34.*'$5.&!.61.*'.78!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!!9!!:! ! "#!'0.!$%&'()*'$#%+,!-+'.($+,&!+11.+(!'#!! -+'*0!'0.!,.+(%.(!*0+(+*'.($&'$*&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! "#!'0.!$%&'()*'$#%+,!-+'.($+,&!&)11#('!! ;0.!1.(2#(-+%*.!#34.*'$5.&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! <&!'0.!*#%'.%'!#2!'0.!$%&'()*'$#%!*#-1,.'.8!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! <&!'0.!*#%'.%'!#2!'0.!$%&'()*'$#%!)1!'#!7+'.8!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! =(.!,.+(%.(&!>$5.%!+7.?)+'.!#11#(')%$'$.&! '#!(.*.$5.!$%2#(-+'$#%!+3#)'!'0.!*#%'.%'8!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!9!!:!!!!!!!!!!!!!!!!!9!!:! ! =(.!,.+(%.(!>$5.%!+7.?)+'.!#11#(')%$'$.&!! '#!1(+*'$*.!#(!+11,/!@0+'!'0./!,.+(%8!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!9!!:!!!!!!!!!!!!!!!!9!!:! ! =(.!,.+(%.(&!>$5.%!+7.?)+'.!#11#(')%$'$.&!! '#!(.*.$5.!2..73+*A!#%!0#@!@.,,!'0./!! +11,$.7!@0+'!'0./!,.+(%.78!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! ! =(.!'0.!$%&'()*'$#%+,!-.'0#7&!+11(#1($+'.!! 2#(!'0.!'+(>.'.7!,.+(%.(&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! ! "#!'0.!$%&'()*'$#%+,!-.'0#7&!&)11#('!'0.!! 1.(2#(-+%*.!#34.*'$5.&8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! ! =(.!'0.(.!#'0.(!$&&).&!'0+'!/#)!%#'$*.7!'0+'!! *#),7!$-1(#5.!'0.!$%&'()*'$#%8!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!9!!:!!!!!!!!!!!9!!:!!!!!!!!!!!!!!!9!!:! !!"#$%&#'(%)&%#*%&+,-.%/# ! ! This worksheet/job aid was adapted from Mastering the Instructional Design Process, (2nd Ed.) (1998), Rothwell, William J. & Kazanas, H. C., Josey-Bass/Pfeiffer, San Francisco.
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