|
SCHOOL: |
WORKSHOP DATE: |
| SCHOOL ADDRESS: |
SCHOOL PHONE #: |
| SCHOOL FAX #: | |
|
CONTACT PERSON: |
CONTACT at HOME #: (if needed) |
1...
FIRST THING IN THE MORNING! _____ : _____ TO _____ : _____
(Please allow approximately
1 hour per workshop - Timing is flexible to fit your school
schedule)
| DIV: |
TEACHERS NAME: |
ROOM #: |
|
TYPE
OF LESSON YOU’D LIKE FOR YOUR CLASS: (LESSON
& MEDIUM!) |
# OF STUDENTS: |
|
|
OPTIONAL
SUPPLY KIT? |
||
2...
SECOND MORNING GROUP! _____ : _____ TO _____ : _____
(Please allow approximately
1 hour per workshop - Timing is flexible to fit your school
schedule)
| DIV: |
TEACHERS NAME: |
ROOM #: |
|
TYPE OF LESSON YOU’D
LIKE FOR YOUR CLASS: (LESSON &
MEDIUM!) |
# OF STUDENTS: |
|
|
OPTIONAL
SUPPLY KIT? |
||
3...
FIRST AFTERNOON GROUP! _____ : _____ TO _____ : _____
(Please allow approximately
1 hour per workshop - Timing is flexible to fit your school
schedule)
| DIV: |
TEACHERS NAME: |
ROOM #: |
|
TYPE
OF LESSON YOU’D LIKE FOR YOUR CLASS: (LESSON
& MEDIUM!) |
# OF STUDENTS: |
|
|
OPTIONAL
SUPPLY KIT? |
||
4...
SECOND AFTERNOON GROUP! _____ : _____ TO _____ : _____
(Please allow approximately
1 hour per workshop - Timing is flexible to fit your school
schedule)
| DIV: |
TEACHERS NAME: |
ROOM #: |
|
TYPE
OF LESSON YOU’D LIKE FOR YOUR CLASS: (LESSON
& MEDIUM!) |
# OF STUDENTS: |
|
|
OPTIONAL
SUPPLY KIT? |
||