Collaborative Planning Facilitations Form | Instructional Templates | Materials Management Forms | Permission, Policy, and Volunteer Forms

Collaborative Planning Facilitations Form

Evaluation of Collaborative Resource Based Teaching
This form can be used after students have used the resources in the media center for an activity, lesson, or unit. Teachers and/or media specialists can evaluate the effectiveness of the materials and equipment in terms of the quantity and quality of resources and the alignment to objectives. Form was compiled and submitted by Patricia Wall, media specialist at River Trail Middle School, Fulton County Schools.

Hot Topics - Media Request Form
Media specialists may distribute this surveys to elementary teachers in order to determine the nature of topics slated for curriculum study each month. With this knowledge, media materials may be selected to support classroom instruction.

Instructional Planning Checklist
Teachers may use this instructional planning checklist from Starr's Mill Media Center to communicate student needs for media center projects.

Media Pass: Why I'm Here Form (elementary)
Media Specialists may encourage elementary school teachers to send individual students to the media center with this accompanying form. Form is designed to keep students on task by communicating student needs for specific media center visits. Form includes practical information such as whether students are supposed to be working with computers or other students, or whether students will need the help of media staff.

Media Request Form
Media Specialists can use this template to keep track of media and materials requested by classroom teachers. Teachers can fill in this form when requesting materials (books, videos, reference materials, software, etc.) from the media center. They can request specific titles or can ask the media specialist to locate materials that are appropriate for a particular theme or content topic. Form contains checkboxes, drop-down menus, and fill in fields.

Media Request Form- B
Media Specialists can use this template to keep track of media and materials loaned out to classroom teachers. Teachers can fill in this form when requesting materials (books, videos, reference materials, software, etc.) from the media center. They can request specific titles or can ask the media specialist to locate materials that are appropriate for a particular theme or content topic. The easy-to-use form contains checkboxes, drop-down menus, and fill-in fields. This form also includes a section in which the media specialist can enter the titles of materials loaned out to the classroom teachers. This is most appropriate for non-automated systems.

Media Technology Instructional Planning Guide
Annotation:  This Media Technology Instructional Planning Form may be jointly used by teachers and media specialists to organize collaborative projects.

Public Library Alert Form
This Public Library Alert Form may be faxed to community libraries to alert media specialists of upcoming school events and student projects. Use the form to invite even greater communication and collaboration between school and community library systems.

Teacher/Media Specialist Planning Guide
Teachers and media specialists can use this form to facilitate collaborative planning of activities and units in which students will need to access the media center resources. Form was compiled and submitted by Patricia Wall, media specialist at River Trail Middle School, Fulton County Schools.

Topics of Study - Media Support Form
Media specialists may distribute these surveys to teachers in order to determine the nature of topics slated for curriculum study each month. With this knowledge, media materials may be selected to support classroom instruction.

Instructional Templates

Multimedia Book Report Rubric
Multimedia Book Report Rubric for Fiction. Use with any multimedia book review. From MidLink magazine.

Story Map Template: Word
A story map can be used by students to sort out the facts of a story they have read or as a tool for writing a story.

Materials Management Forms

Evaluating Software- Form and Rubric
Easy-to-use form with rubric for reviewing and evaluating software that is being considered for use in technology integration or as curriculum materials has checkboxes, drop-down menus, and fill-in fields. Can be used by administrators, grade level or subject area chairs or committees, or by the media or technology specialist.

GALILEO Get the Password Bookmark
Media specialists will wish to print, photocopy, and cut these handy bookmarks to remind teachers of the GALILEO resource. Bookmark includes a login and password reminder to facilitate use.

Ideas for Facilitating the Return of Overdue Materials
Sometimes verbal reminders, notes home and even overdue notices with listed fines/replacement costs are not enough to prompt students and parents to return overdue materials. Here are some additional ideas for getting materials back.

Media Center Budget
This Excel template is ready to go to help Media Specialists keep track of their expenditures. Just change the categories to suit your needs, enter the numbers, and the formulas are already created to deduct costs and show a running balance.

Media Request Form
Media Specialists can use this template to keep track of media and materials requested by classroom teachers. Teachers can fill in this form when requesting materials (books, videos, reference materials, software, etc.) from the media center. They can request specific titles or can ask the media specialist to locate materials that are appropriate for a particular theme or content topic. Form contains checkboxes, drop-down menus, and fill in fields.

Overdue Notice- Middle School/High
Letter to send home to parents reminding them of overdue books and materials their child had borrowed from the Media Center. Includes fields for listing titles and replacement costs.

Overdue Notice_ Elementary
Letter to send home to parents reminding them of overdue books and materials their child had borrowed from the Media Center. Includes fields for listing titles and replacement costs and gives suggestions to parents on helping their child find the books.

Software Evaluation Rubric
Use this rubric to review and evaluate software that is being considered for use in technology integration or as curriculum materials. Criteria includes: instructional content, curriculum connections, graphics, lay-out, interactivity, support materials, etc. Can be used by administrators, grade level or subject area chairs or committees, or by the media or technology specialist.

Wanted Poster for Fugitive Books
Overdue notices not effective? Need a new idea for encouraging students to find and return missing books? Customize this "Wanted- Fugitive Books" poster.

Permission, Policy, and Volunteer Forms

Media Center Volunteer Form
Wanted: Media Center Volunteers! This form outlines the possible roles and duties of media center volunteers. The bottom portion can be filled in by interested parents or community members.

Media Center Volunteer Form- Elementary
Wanted: Media Center Volunteers! This form outlines the possible roles and duties of media center volunteers. The bottom portion can be filled in by interested parents or community members.

Photo/Video/Student-Authored Work Consent Form and Release -Basic
This form applies to students being photographed, video taped, audio taped and interviewed in connection with school activities and events. It also gives consent for the school to use works generated/authored by students. The document should be customized to reflect the local school’s information and then printed on school letterhead stationery. A section for a notary can be added to the form if desired.

Photo/Video/Student-Authored Work Consent Form and Release -Formal
This form applies to students being photographed, video taped, audio taped and interviewed in connection with school activities and events. It also gives consent for the school to use works generated/authored by students. The document should be customized to reflect the local school’s information and then printed on school letterhead stationery. A section for a notary can be added to the form if desired.