School Visit Sheet

Project Name Jigyasa

Name of School Mentor Sunil Kumar

Name of State Coordinator Himani Sabbarwal

District Sitapur

Block Mishrikh

BRC Mishrikh

CRC

Reporting Period November

Start Date End Date

1/11/2019 30-11-2019

FIELD VISIT DATA

Date of Visit of School 5/11/2019

School Information Collection

DISE Code of the School 9241202112

Name of the School U P S KUTUBNAGAR
Address of the School KUTUBNAGAR, MISHRIKH
Name of the Principal/Headmaster SHIV GOPAL
Phone Number of the Principal/Headmaster 9793567136
Bank Account Details of the School
Name of the Bank BANK OF INDIA
Address of the Bank MISHRIKH
Bank Branch Name MISHRIKH
IFSC Code BKID0006845
Account Name A/C684510110003338
Ph No. linked with Account 9793567136

School Infrastructure Assessment

Number of Working Computers in Schools 3 Select Number
Number of Working Tablets in Schools NA Select Number
Number of Working Projector in Schools NA Select Number
Does the School have Internet connectivity YES Select Answer

Classroom Information Data Collection

Personal Details Name of the Teacher KALPNA SHARMA SHIV GOPAL AKANSHA BAJPAI (Enter Teacher 4 Name) (Enter Teacher 5 Name)
Ph No. of the Teacher 9519724880 9793567136 9454122117 (Enter Ph No of Teacher 4) (Enter Ph No of Teacher 5)
Details of the Phone the Teacher Has ANDROID ANDROID ANDROID Select Phone Type Select Phone Type
SAMSUNG SAMSUNG SAMSUNG Select Phone Brand Select Phone Brand

Classroom Details
Classes the Teacher Teaches 6 6 6 Select Class Select Class
7 7 7 Select Class Select Class
Select Class 8 Select Class Select Class Select Class
Select Class Select Class Select Class Select Class Select Class
Select Class Select Class Select Class Select Class Select Class
Subjects the Teacher Teaches SCIENCE HINDI GEGRAPHY Select Subject Select Subject
MATHEMATICS SOCIAL STUDY HISTORY Select Subject Select Subject
ENGLISH Select Subject Select Subject Select Subject Select Subject
Select Subject Select Subject Select Subject Select Subject Select Subject
Select Subject Select Subject Select Subject Select Subject Select Subject
Has the Teacher Had Any Prior Govt Digital Training Select Answer Select Answer Select Answer Select Answer Select Answer
If Yes, Which One (Enter Training Name) (Enter Training Name) (Enter Training Name) (Enter Training Name) (Enter Training Name)

Use of Digital Material for Training/Teaching

Training
Has the Teacher been trained on any digital Material NO NO NO Select Answer Select Answer
If Yes, Name of the Digital Material (Enter Name) (Enter Name) (Enter Name) (Enter Name) (Enter Name)
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Created Select Format Select Format Select Format Select Format Select Format

Has the Teacher been trained on any digital Material NO NO NO Select Answer Select Answer
If Yes, Name of the Digital Material (Enter Name) (Enter Name) (Enter Name) (Enter Name) (Enter Name)
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Created Select Format Select Format Select Format Select Format Select Format

Self-Learning
Is the teacher using any digital material for self-learning NO NO NO Select Answer Select Answer
If Yes, Name of the Digital Material (Enter Name) (Enter Name) (Enter Name) (Enter Name) (Enter Name)
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Select Format Select Format Select Format Select Format Select Format

Is the teacher using any digital material for self-learning NO NO NO Select Answer Select Answer
If Yes, Name of the Digital Material (Enter Name) (Enter Name) (Enter Name) (Enter Name) (Enter Name)
 For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Select Format Select Format Select Format Select Format Select Format

Creating
Has the Teacher Created any digital Teaching-Learning Material NO NO NO Select Answer Select Answer
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Created Select Format Select Format Select Format Select Format Select Format

Has the Teacher Created any digital Teaching-Learning Material NO NO NO Select Answer Select Answer
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Created Select Format Select Format Select Format Select Format Select Format

Teaching
Is the Teacher using any digital Teaching-Learning Material other
than the Government material NO NO NO Select Answer Select Answer
If Yes, Name of the digital Teaching-Learning Material (Enter Name) (Enter Name) (Enter Name) (Enter Name) (Enter Name)
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Select Format Select Format Select Format Select Format Select Format

Is the Teacher using any digital Teaching-Learning Material other

than the Government material NO NO NO Select Answer Select Answer
If Yes, Name of the digital Teaching-Learning Material (Enter Name) (Enter Name) (Enter Name) (Enter Name) (Enter Name)
For Which Class Select Class Select Class Select Class Select Class Select Class
For Which Subject Select Subject Select Subject Select Subject Select Subject Select Subject
Format of the digital Teaching-Learning Material Select Format Select Format Select Format Select Format Select Format

Knowledge Community Details

Is the teachers already on Digital Media Groups for Education
Initiatives NO NO NO Select Answer Select Answer
If Yes, Which Ones Select Group Select Group Select Group Select Group Select Group
Has the Teacher Shared any of the Materials He/She has
Developed on these groups? Select Answer Select Answer Select Answer Select Answer Select Answer

Transfer of Knowledge Resources & Training

Gurushala Portal Training

(https://gurushala.co/) Is the Teacher Trained on Gurushala Portal YES YES YES Select Answer Select Answer
Has the Teacher Signed in on the Gurushala Portal NO NO NO Select Answer Select Answer
Has the Teacher Accessed the Gurushala Portal NO NO NO Select Answer Select Answer
Is the teacher Using the Content from the Gurushala Portal in Classroom YES YES YES Select Answer Select Answer
Which Content was used the most

Estimated Number of Students to whom Gurushala Content was demonstrated Select Number Select Number Select Number Select Number Select Number
Activities Undertaken

Vodafone Scholarship Portal

(https://www.learningwithvodafoneidea.in/en) Has the Teacher been Trained on Vodafone Scholarship Portal NO NO NO Select Answer Select Answer
Has the Teacher Signed in on the Vodafone Scholarship Portal NO NO NO Select Answer Select Answer
Has the Teacher Accessed Vodafone Scholarship Portal NO NO NO Select Answer Select Answer
Number of Students to whom Scholarship Portal was demonstrated NO NO NO Select Number Select Number
Number of Students who have Benefitted from the Scholarship Portal NO NO NO Select Number Select Number

KHEL Training
Has the Teacher beenTrained on KHEL Materials YES YES YES Select Answer Select Answer
Has the Teacher downloaded KHEL Materials NO NO NO Select Answer Select Answer
Has the Teacher Signed in on the KHEL Materials NO NO NO Select Answer Select Answer
Has the teacher Accessed KHEL Materials YES YES YES Select Answer Select Answer
Has the Teacher used KHEL Modules in Classroom YES YES YES Select Answer Select Answer
Estimated Number of Students to which KHEL Content was demonstrated YES YES YES Select Number Select Number
Activities Undertaken (write the activities undertaken) (write the activities undertaken) (write the activities undertaken) (write the activities undertaken) (write the activities undertaken)

Feedback of The School Mentor on the Visit (any comments which the school mentor has which he/she wishes to highlight)