Name:
Book Club
Self-Evaluation Form
1 = Not At All 2
= A little 3 = Often/Mostly 4 = Exceeding
Book Club Name: ________________________________________ Date: ___________________
Student Evaluation:
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Name of Student:
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Came Prepared
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Was On-Task
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Participated Actively
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Was Respectful and Polite
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Discussion Evaluation:
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We stayed on one idea and built on it by responding,
agreeing, disagreeing, and adding on
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We asked deep questions that sparked good conversation
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We asked clarifying questions when we were confused
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We challenged each other to support our ideas with
evidence
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We developed theories about the book together
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The conversation was natural (we didn’t just go around the
circle)
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What was the
highlight of your book club today?
What is your goal for
your next meeting?
