Lesson Plan Template (Fillable) Page 3
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4Palomar College CHDV Department Lesson Plan Format and Instructions
***THE FOLLOWING PORTION SHOULD ONLY BE COMPLETED FOR THOSE CHDV ASSIGNMENTS
REQUIRING IMPLEMENTATION OF THE LESSON PLAN***
Lesson plan must have the professor’s signature before presentation to the children or no credit will be
given for completion of the lesson plan.
Professor’s Signature:_________________________________________ Date:____________
CENTER INFORMATION
Name of Center:
Proposed Date of Activity:
Name of Teacher:
Proposed Time for Activity:
Age of Children:
Proposed Length of Lesson Plan:
EVALUATION OF THE ACTIVITY
(this portion should be double-spaced and use complete sentences and paragraph form)
STRENGTHS OF THE ACTIVITY:
WEAKNESSES OF THE ACTIVITY:
CHANGES FOR NEXT TIME:
OBSERVATIONS OF THE ACTIVITY AND THE CHILDREN’S RESPONSE (INCLUDING HOW/WHETHER
GOALS & OBJECTIVES WERE MET):
PERSONAL REFLECTIONS ON THE EXPERIENCE:
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