COOPERATIVE PLANNING GUIDE
Teachers need to fill out
this form with a media specialist at least THREE
days prior to bringing classes to the media center.
SUBSTITUTES SHOULD NOT BRING CLASSES TO THE
Today’s Date ___________________ Teacher _______________________
Course Title ____________________ Grade/Level ___________________
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Date: Block 1
Block 1 Block 2 Block 2 Block 3 Block 3 Block 4 Block 4
______ ____ ____ ____ ____ ____ ____ ____ ____
______ ____ ____ ____ ____ ____ ____ ____ ____
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Assigned topic (Please submit student assignment sheet)____________________
____ Rubric(s) for assignment
Assignment due date ______________
Media Services
Requested Student Services Requested
____ Internet websites ____ Orientation on OPAC, media center,
or research materials
____ Bibliography ____ Photocopying
____ No checkout ____ Online periodical databases
____ Book reserve ____ Book check-out
End Product:
____ Group Project ____ Individual Project
____ Visual aid(s)
____ Oral presentation
____ Written ____ Number of pages ____ Typed
____ Performance
____ Exhibition
____ PowerPoint presentation
____ MLA required
Was the student allowed some choice in the assignment? ________
Remind students of
the following policies prior to arrival in the media center:
Students are to bring pencil, pens, paper, note cards, etc. to the media center