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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March Spotlight

In-Kind Support

Celebrating our "in kind" sponsors and advocates -- who support Mattie's Foundation with services and materials. Thank you ezStorage, Montgomery Printing, Parcel Plus, and Potomac Valley Brick! Read more...

Nourishment Support

Celebrating our "nourishment" sponsors and advocates -- who support Mattie's Foundation with food and services. Thank you Botanero Restaurant, Fontina Grille, Safeway, Coffee Republic, and Red Hot & Blue! Read more...

Community Support

Celebrating our "community" sponsors and advocates -- who support Mattie's Foundation with commitment and participation. Thank you City of Rockville, King Farm Citizen's Assembly, Kick's Karate & Mix 107.3! Read more...

Champion Support

Celebrating our "Foundation Champions" -- sponsors and volunteers of all ages who support Mattie's Foundation through donations, brick sponsorships, participation in our activities and events. Thank you!!! Read more...

- Mattie J.T. Stepanek