Transfer of Learning Worksheet

The purpose of this form is to help you plan to transfer what you’ve learned today to your everyday life. Be realistic, so that the things you plan to do here can be completed and help you succeed.

  1. When I get back from this session, I’ll discuss what I’ve learned and my overall impressions of today’s programs with

    2. Person: _____________________ Place: __________________ Time: _______

    What I think I’d most like to discuss is:

     

     

     

    Why I want to discuss this:

     

     

  2. I’m going to "stretch" my knowledge about this topic by reading the Policy Statement of the American Academy of Pediatrics on Media Education (available at the following web site: http://www.aap.org).

  3. I’m going to try to implement part of what I learned today by:

    4.  

     

    I’m going to discuss the results of this experience with:

     

     

  4. Other activities I’d like to do to make sure that my learning on this topic continues beyond this event:

 

 

If you need prodding, consider signing a copy of this worksheet and sending it to another person who will serve as adviser/coach/prodder.

Signed: ________________________________________________________________

Address: _______________________________________________________________

City: ______________________________________ State: ________ Zip: ________________

Send to: