Needs Assessment for the American History Project

NEEDS ASSESSMENT

Please return this assessment to:

Mike Lair
Teaching Traditional American History Grant Director
Chillicothe High School, 2801 Hornet Drive, Chillicothe, Missouri 64601
School Phone: 660-646-0700
Home Phone: 660-646-6053
School Fax: 660-646-7106
Email Address: lairmike@hotmail.com

This assessment is designed to help me choose topics for our one-day in-service meetings.
If you meet the requirements to participate in this project, a letter will be sent to your
principal with more details and information.

If you would be interested in being included in future mailings (and postings) about the programs included in the Teaching Traditional American History Grant Project, please complete the following:

NAME:
SCHOOL:
SCHOOL ADDRESS:
SCHOOL PHONE:
SCHOOL FAX:
HOME PHONE:
EMAIL:
Would your school (principal) encourage you to attend an in-service presentation especially focused on the instruction of history: Yes No
Would the cost of a substitute teacher be an obstacle to your attending such a meeting? Yes No Travel Expenses? Yes No
Would you be willing to spend time traveling the country to gain graduate credit and improve your historical knowledge without cost to you? Yes No
PRINCIPAL'S NAME:
SUPERINTENDENT'S NAME:
Complete this form, print, and mail or fax to Mike Lair as listed above. Thank you for your interest!