Shareware Submission

If you have an instructional program, lesson plan, or activity that you think is creative and works well with your students, fill in the information below and submit the form via the web site as instructed below, or mail to Bob Steel, UNC Charlotte - CSPC, 9201 University City Blvd., Charlotte, NC 29223, or fax to Bob Steele @ 704-687-2916 or scan in and email to rsteele@email.uncc.edu.

Teacher Name
First		Last

Date:

School:
School System:

City:

State:

Phone:
Age Range of Students:
No. of Students:

How would you describe the students who benefit from this instructional program?

Classroom Type:
Inclusion
Resource
Self-Contained
Other (specify):

Goal/objective of the program, lesson plan, or activity:

Description of program, lesson plan, or activity. (Use the back of this page as necessary):

Materials Required:

Approximate duration of activity:
Days
Weeks
Months
On-going