R P Validation Form
R P Validation Form
Title: ______________________________________________________________________
Subject area(s): ____________________________ Grade / Year level: _______
Instruction: Examine the information thoroughly and take into account how
well the resource satisfies each evaluation criterion. Select the appropriate
value from the list: 4 very satisfactory (VS), 3 satisfactory (S), 2 poor (P), and 1
Very Poor (VP). You can give comments and suggestions for each evaluation
criterion. The score range will be based on the table below. Please put a
checkmark (/) in the appropriate box.
__ Failed
__ Failed
__ Failed
A material that failed in at least one of the four factors in this rating sheet
should not be recommended for possible use in public schools.
____ii. I/ We do not recommend the approval of this material for possible use in
public schools for the reasons stated below and/or cited in this evaluation
report. (Please use a separate sheet if necessary.) I/We certify that this
evaluation report and recommendation are my / our own and have been made
without any undue influence from others.
Comments/Suggestions:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
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VALIDATOR INFORMATION
Name: _________________________________________________
School (Affiliation): ____________________________________
Years in Service: _______________________________________
Number of SIM Created: ________________________________
Educational Attainment: ________________________________
Baccalaureate:
Course: ___________________________________________
Specialization: ____________________________________
School: ___________________________________________
Year Graduated: ___________________________________
Master’s Degree:
Course: ____________________________________________
Specialization: ______________________________________
School: _____________________________________________
Year Graduated: ____________________________________
Doctorate’s Degree:
Course: _____________________________________________
Specialization: ______________________________________
School: _____________________________________________
Year Graduated: ____________________________________
I hereby certify that the above information is true and correct to the best of my
knowledge and expertise.
Signature(s): _______________________________________
(Please print your full name)