A r c h i v e d I n f o r m a t i o n

Choosing Life Skills - January 1998

Appendix II: Life Skills Product Data Form

Title

__________________________________________________

Source

Publisher and/or Vendor ___________________________________________

Address ___________________________________________________________

City/State ________________________________________________________

Phone _____________________________________________________________

Contact Name ______________________________________________________

Program Description

Topics

____________________________________________________________

Audience

Gender _____________________________________________________

Age ________________________________________________________

Literacy Level _____________________________________________

Multi-Ethnic/Multi-Cultural _______________________________

Language __________________________________________________

___________________________________________________________

Students with Disabilities ________________________________

___________________________________________________________

Format

Books _____________________________________________________

Bindings __________________________________________________

Workbooks _________________________________________________

Bindings __________________________________________________

Supplemental Materials ____________________________________

______________________________________________________________

Audio Tapes __________________________________________________

Video Tapes __________________________________________________

Software _____________________________________________________

______________________________________________________________

Computer Aided _______________________________________________

______________________________________________________________

Keypad Response ______________________________________________

______________________________________________________________

Networked System _____________________________________________

Teacher Management Materials __________________________________

Tests ________________________________________________________________

______________________________________________________________________

Instruction

Open Entry/Exit ______________________________________________________

Optimum Class Size ___________________________________________________

Class Composition ____________________________________________________

Teacher Roles ________________________________________________________

Self-Taught/Directed _________________________________________________

Units/Modules/Sequencing _____________________________________________

Support

Staff Training:

Startup _____________________________________________________

Ongoing _____________________________________________________

_____________________________________________________________

Installation:

Hardware ____________________________________________________

Software ____________________________________________________

Software Upgrades ___________________________________________

Startup _____________________________________________________

Ongoing _____________________________________________________

Trouble-Shooting/Hotline ____________________________________

Costs

Printed Materials __________________________________________

_____________________________________________________________

Hardware:

Startup _____________________________________________________

Ongoing _____________________________________________________

Software:

Startup _____________________________________________________

Ongoing _____________________________________________________

Legal Considerations

Copyrighted _________________________________________________

Public Domain _______________________________________________

License Requirements ______________________________________________

Notes

___________________________________________________________

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[Appendix I: Life Skills Needs Assessment Form]

[Appendix III: Life Skills Product Evaluation Form]