ࡱ>  _bjbj yeeQ 8$)"!!!!!!!, $&!^! !:!!r TT!"HH!!!0)""!2?'?'T!T!8!!)"?' ^:   ArtsPath Arts-in-Education Program Artists Post Residency Evaluation Form To be completed by artist(s)s immediately following the residency, and REQUIRED in order to ensure proper payment.  HOST SITE NAME: ___________________________________________________________________ TEACHER(S): ________________________________________________________________________ SITE TYPE: ____HIGH SCHOOL ____JR HIGH SCHOOL ____MIDDLE ____ELEM ____OTHER PARTICIPANTS GRADE/AGE: _______________ RESIDENCY DATES: ______________________ NAME OF COMPANY, ARTIST(S), OR ENSEMBLE: _______________________________________ DISCIPLINE / ART FORM: _____________________________________________________________ Please circle the number that best expresses your reaction: Lowest Highest Comments 1.Overall residency rating1234N/A2.Goals were met1234N/A3.Residency planning process1234N/A4.Schedule of events1234N/A5.Length of residency1234N/A6.Students directly involved in creative process (hands on)1234N/A7.Organization of core group(s)1234N/A8.Age-appropriateness1234N/A9.Support of academic standards1234N/A10.Environment conducive to art education1234N/A11.Availability of resources (classroom/artist materials)1234N/A Please respond to the following: How did the residency planning form assist you? If culturally specific, what art forms were presented? Were teacher, parents and/or the community involved? How? What were the most useful things you learned? What focus will future residencies include? If you were to repeat this residency, what would you do differently? Please provide the following numerical information: Total number of students benefiting ___ Number of Minority ___ Number of Disabled ___ Total number of core students benefiting ___ Number of Minority ___ Number of Disabled ___ Total number of teachers benefiting ___ Number of Minority ___ Number of Disabled ___ Total hours spent in: _____ Residency Preparation _____Core Student Teaching _____ At Host School When returning the form to ArtsPath, please include any publicity, examples of student work, slides, and/or photos of this residency. _____________________________________________________________________________________ Artist Name Phone number Date Please return this form to: Jeff Wacker, Associate Director, Lively Arts |ArtsPath ϳԹ ( 202 Performing Arts Center ( 403 S. 11th St. ( Indiana, PA 15705-1008 Phone 724-357-2787 (ARTS) ( Fax 724-357-7899  This project was made possible through the AIE Partnership of the ϳԹ Council on the Arts, a state agency. 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