Bv printi, plenigi, kaj sendi ĉi tiun formularon al la Eduka Sekretario, Sherry Wells, P.O. Box 1338, Royal Oaks, MI 48068, aŭ sendi la saman informon pere de retmesaĝo al esperantosherry@tm.net.
INSTRUCTOR Name ___________________________________________________________________________ Address ________________________________________________________________________ Email __________________________________________________________________________ COURSE Location ______________________________________________________ Tuition cost __________________________________________________ Level: Elementary_____ Intermediate_____ Other_____ Beginning and ending dates_____________________________________ Number of lessons _______ Duration of each lesson _____________ MATERIALS USED Books___________________________________________________________________________ Videos__________________________________________________________________________ Other___________________________________________________________________________ STUDENTS Number finishing course ________ Age range_____________ Previous language skills ________________________________________________________ Is the course shown in the student records? ___________ Was an AATE exam administered? ___________ FORMATION OF CLASS Name of organizer________________________________________________________________ Publicity method used____________________________________________________________ Supplier of course materials_____________________________________________________ COMMENTS OF INSTRUCTOR Concerning publicity _________________________________________________________________________________ _________________________________________________________________________________ Concerning materials _________________________________________________________________________________ _________________________________________________________________________________ Concerning teaching _________________________________________________________________________________ _________________________________________________________________________________