Oregon Writing Project Collaborative at George Fox University Continuity, Inservice, or Youth, Family, & Community Activity Report Activity Information Name of Activity Name of Program Activity Category (Please select one: Continuity, Inservice, or Youth, Family, & Community.) Type of Activity (Please select one): Continuity _ Advanced/special-topic institute, workshop series, or course for TCs _ Conference, conference session, or Saturday session/workshop for TCs _ National (NWP) event participation _ National (NWP) leadership team participation _ Site governance or program planning meeting/retreat _ Special/renewal event or retreat _ Study group, teacher-research, or work group for TCs Start Date Number of Days Inservice _ Conference, conference session, or Saturday session/workshop _ Open/special-topic institute, workshop series, or course _ School-based consultation, curriculum development, or assessment _ Study group, teacher-research, or professional learning session (mm/dd/yyyy) End Date YFC _ Youth activity _ Parents/family activity _ Community activity (mm/dd/yyyy) Average Hours per day Was this activity designed to have all participants attend the entire activity? YES NO If NO: Average Number of Days per Participant Average Hours per Day per Participant Number of TCs facilitating (not required for Continuity activities) Was this activity related to an NWP initiative, network, or other program? YES NO If YES, please give name of initiative, network, or other program Did this activity include content focusing on the use of technology for the teaching of writing? YES NO Was all or part of this activity conducted online? YES NO Comments (optional) Did this activity include content related to college- and career-ready standards? YES NO Comments (optional) Participants Please submit the participant information on the next page. The list participant list here is used to submit our Site Profile Report to NWP each October. This list (and our report) must name the schools or institutions (participant organization) represented by the participants who attended this activity. List each participant organization only once, along with participant organization type*, and report the number of participants. Count each participant only once. Participant Organization (e.g., Rosa Parks HS) Participant Organization Type* K–12 Teachers Higher Educ Teachers Administrators Other Educators Preservice Noneducators 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. * Participant Organization Type (Select one) = School, District/LEA, College/University, Other Agency/Institution, or Unknown Youth Family Community activities only: Number of Family Other Non-educators ____ Number of Youth Number of Activity Description What was the primary goal of the event? Please list this program’s successes: Please list suggestions for program improvement: Please submit a detailed agenda or syllabus. If not applicable – please provide a description of the activity: Budget Along with this Activity Report – please also submit a final ‘Program Budget Report’ if applicable. Report Prepared by: Name: Date: Email: Phone Number: Please save this document to your computer and then send as an attachment to: OWPC Director Karen Hamlin and OWPC administrative Assistant at Khamlin36@gmail.com and abyerley@georgefox.edu