Technology Integration Form

*Shaded boxes are to be completed prior to implementation.

Name

Course

GOAL: What SLO (Student Learning Outcome) or EO

(Enabling Objective) are you choosing to enhance or meet
through the integration of technology?

Quarter

Technology chosen:

RATIONALE: Why are you choosing this

technology?

INTEGRATION PLAN: Describe the lesson(s) in which you will you integrate this technology and explain how and how
often you will use it.

STUDENT LEARNING: Which level(s) of student learning

(See Blooms Taxonomy) did the technology help to
strengthen? Provide a sentence or two that support your
answer.

LIMITATIONS: What obstacles did you encounter in the use

of this technology and how did you navigate/minimize them?

EVIDENCE: What evidence do you have to

demonstrate that this technology brought about an
increase in student engagement and/or learning?

Blooms Taxonomy
Student Levels of Learning
(View next page for larger diagram.)

MODIFICATIONS: What changes to either the technology or

the integration of the technology would you put in place for
next time?

Make a copy of this document and submit it to your supervisor by the end of Week 5.
G_ETL_2012 AIM Resources_Implementation_9.04.15

Blooms Taxonomy
Student Levels of Learning

This Digital Blooms Taxonomy offers ideas for technology tools which
would be appropriate at various levels of learning.

Additional resources are available at http://guides.baker.edu/edtech