Print Form
Submit by Email
If you are sending data from
Parent-Child Mother Goose Program ®
this form by email please
Cover Sheet
make sure that your email
subject says: data for
Teacher Self-Evaluation Form
Teacher Self-Evaluation
Form
The evaluation form should be completed and sent to the National Office after each ten-session term either by printing
it out and sending a hard copy by mail or through email by clicking on the Submit by Email button in the top right
corner of this page.
Note: Learning about the program and how to teach it is an ongoing process. We expect that in the first few terms of
teaching a Parent-Child Mother Goose Program ® that you will have some areas in which you are achieving Program
standards consistently and others in which you are having difficulty. Please evaluate yourself honestly and carefully, and
comment on each area below. It can be helpful to talk with and get feedback from your co-teacher. Send your
evaluation with your Program reports for each term, including copies of the Participant Responses.
Note: In this form, the feminine pronoun is meant to include the masculine pronoun, as well.
Please call the office at any time with questions or concerns or stories from your program. We will be delighted to hear
from you.
Your name:
Your co-teacher's name:
Date of your Teacher Training Workshop (
)
MM/DD/YY
to
Dates of Program Term:
Date of evaluation:
1st
2nd
3rd
This is your
or
term
®
Name and address of organisation hosting the Parent-Child Mother Goose Program
Host Organisation
Street
City
Province
Country
Postal Code
Telephone
Fax
E-mail
Contact person at organisation
Parent-Child Mother Goose Program ®
720 Bathurst Street, Suite 500A, Toronto, ON M5S 2R4
Tel: 416.588.5234 Fax: 416.588.1355 E-mail: mgoose@web.net
SE1