Unit title:

                                        Please attach your assignment to this form

Goals and objectives/essential questions of the unit:

Please indicate which items are applicable to this research activity:
introduction to resources that are relevant to your assignment
cover particular reference skills
prepare formal bibliographies or book talks
bookmark relevant web sites
assistance in evaluation of process and product

Do you want materials pulled and kept in a separate place? Yes No
If yes, please indicate the date you would like these materials held until

During the assignment, materials: (please check)
are to remain in the library
can be signed out overnight
can be signed out for a two-week period

(Please check materials you will be using and feel free to add to this list)

Unit title2:             Teacher name:

Total time spent by LMS:           # of students affected:

What worked well in the unit?

Which materials were most helpful?

Suggestions for improvement:

From both the teacher's and library media specialist's points of view, was this unit enhanced through collaboration?

                Yes             No        Why?

Was the unit successful enough to warrant doing it again in the future?

                Yes              No        Why? 

How well did the library collection support the unit objectives?
Scale:  5 = excellent; 4 = above average; 3 = average; 2 = below average; 1 = poor

Diversity of formats (books, multimedia, electronic)?

Recency (books and other materials up to date)?

Duplication (enough materials for the number of students taught)?

Reading/viewing/listening levels meet students' needs?

What  materials/technology will we need if we are planning to repeat the unit again? (add a list)

      © 1987, Michael B. Eisenberg/Robert Berkowitz

Culmination activities: