Name:

Lesson Subject/Topic:

Intended Audiences
grade levels or course:
entry competencies:
learning styles covered:

Lesson Objectives
desired outcomes:

list selected media, equipment, materials, tools, aids, graphics to be used:

state environment where lesson/media will take place/occur

description of how media and materials will be used

describe activities of lesson/unit and/or how learner participation will be required

accommodations for special needs learners:

Evaluation
expected learner performance:
expected observable behavior:
real-world skill gained:
methods of evaluation planned:


Revisions needed next time this media lesson is used
(to be completed after the lesson is concluded)