Teacher Tip & Lesson Plan Template

Posted on: June 11th, 2012 by jeni No Comments



Teacher Tip & Lesson Plan Template


This is a suggested template.

Please modify/expand as appropriate.


You may download the PDF version
by clicking here…


Lesson or Activity Plan Title:


Are you Peace Certification Program Participant(s) (yes___  no___)

Season ___________ Year ___________

Is the plan related to an outreach activity created by Mattie’s Foundation?
(yes ______  no _______) (If yes, which one: _____________________)


Name of Educator or Individual:

Your role (e.g., teacher, counselor, parent, aide…):

Name of classroom/school:

Location (city, state, country): 

Name of Lesson or Activity Plan:

Subject /content area(s):  

How is this lesson related to Mattie’s poetry or peace message
—– (e.g., which poem, quote, book, etc):

Recommended age/grades/developmental level: 

 Who created or adapted this plan: 


Lesson/Activity Objectives:

Relationship to State Standards (if applicable): 

Materials needed: 

Length of activity (minutes, days, weeks…):

Number of students/classes impacted:

Preparation steps before lesson/activity: 

Modifications (for students with disabilities, ESL…) 


Please describe how the lesson or activity was introduced and carried out.

  • What was said and done first, next…
  • Specific steps in the lesson/activity…
  • Discussion questions and extension activities…
  • Closure or follow-up discussion or activities…
  • Any evaluation of the lesson/activity (what/who/how)…  

Please describe student reflections and responses to the lesson/activity:

  • What did they like? What would they change?
  • What did they learn?  Do they want to learn more?


Is this a lesson or activity that families or other classrooms/groups also learned about or were involved with?

Describe your thoughts on “What Next?” (for the students, for this activity…):

Please describe any suggestions for replication (including modifications):

Other comments or feedback…

Please include sample photos (artwork, photos of essays, students in action, bulletin boards, etc…)


Please return this information or form and photos to
402 King Farm Blvd. #125, Rockville, MD 20850



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January Spotlight

May 5 at Botanero

Cinco de Mayo Partnership Fiesta - FREE ENTRY - All Day Happy Hour & food specials, Music by DJ Genius, ZamDance performances -- join us for a fundraising party that celebrates peace and acceptance! Read more...

June 2 at Dawson's

Mosaics & Music: Make Peace the News -- join us for wine & apps, music & mosaic unveiling, conversation & celebration at a fundraising gathering to promote peace! Early Bird Tickets $25 ($30 at the door). Read more...

June 21 and 22

Celebrating Mattie’s life & legacy – 15-year anniversary Mass on June 22 (11 am) at St. Francis of Assisi Church in Derwood, MD, followed by a reception hosted by Mattie's Guild - ALL ARE WELCOME. Read more...

July 13 in King Farm

2019 Peace Day Celebration – join us for a FREE street fair (1-5 pm), all day food & drink specials (1-8 pm), and a Happy Hour Dance Party (5-8 pm) – arts, crafts, music, performers, cake, moon bounce… Read more...

- Mattie J.T. Stepanek