Ocean Bank Center for Educational Materials (OBCEM)

Online Teacher Evaluation Form

* Required Fields

OBCEM Teacher Evaluation First Name:*
Last Name:*
Email:*
Date you last visited the Ocean Bank Center:*
Grade Level:*
Subject:*
Region:*
Your overall experience at the OBCEM was:*

Positive*
Negative*

Did you find the staff and/or volunteers helpful?*

Yes*
No*
Not applicable*

How would you rate the selection of items at the OBCEM?*

Excellent*
Good*
Fair*
Poor*

What type of items would you like to see?*
Were the items clearly marked and easy to find?*

Yes*
No*

Do you plan to visit the OBCEM again in six months?*

Yes*
No*

Did you find the Wed., Thurs., or Sat. visiting hours convenient?*

Yes*
No*

If no, which days and times would you prefer to visit?
Have you ever participated in any other Education Fund Programs?*

No*
Citibank FamilyTech*
Citi Success Fund*
Teacher Mini Grants*
Citi Team Mentor Grants*
Collaborative Nutrition Initiative*
IMPACT II Idea Expo*
Superintendent's Urban Pricipal's Initiative*
Teach-A-Thon*
Teachers Network Leadership Institute*

How did you find the paperwork associated with your OBCEM visit? (Writing away for pass, withdrawal form, follow-up report.) Check all that apply:*

Very clear*
Okay*
Not clear*
Too lengthy*
Other*

One of the goals of the program is to encourage and support teachers. As a teacher, please check all statements below which you believe this program achieves:*

OBCEM helps you feel more support as a teacher.*
OBCEM makes you feel more respected as a teacher.*
OBCEM helps reduce teacher isolation.*
OBCEM encourages you to stay in the teaching field.*
OBCEM provides additional resources which positively impact student literacy.*

Please describe briefly what items you selected from the OBCEM:*
Please explain briefly how you used these items in your classroom and the impact that this program has on your students:*
How many students will benefit from the materials received at the OBCEM?*
Please briefly describe the general ethnic and income level demographics of your students who benefit from the materials received at the OBCEM:*
Comments and suggestions are welcomed:

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