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2. About Classroom Programs

   • Programs are available for 3rd, 4th, and 5th grade classes.
   • Programs are 90 minutes in length.
   • Programs are offered on a first come, first served basis. 
   • Programs are offered in person; a limited number of virtual programs are available upon request.

6. Teacher Information

8. Teacher Name*
10. Cell Phone*
12. Email Address*
14. Second Email Address
16. Are you signing up for multiple teachers?*

    1. No
    2. Yes
18. Additional Teacher Email Address(es)

22. School Information

24. School Name*
26. School District*
    -- Select One --MDUSDAUSDPUSDMUSDOUESDBUSDPrivate SchoolHome School
28. Grade Level*
    -- Select One --3rd Grade4th Grade5th Grade
30. Is your school a Title 1 school?*

    1. No
    2. Yes

34. Scheduling Information

    Our goal is to reach multiple classes in a day when possible. Please coordinate with other teachers on scheduling.

36. Number of programs*
    -- Select One --12345
38. Number of students per program*
40. Preferred months of the school year

    1. September
    2. October
    3. November
    4. December
    5. January
    6. February
    7. March
    8. April
    9. May
42. Preferred days of the week

    1. Monday
    2. Tuesday
    3. Wednesday
    4. Thursday
    5. Friday
44. What time of day works best for your students?*

    Please be as specific as possible, keeping bell schedules in mind. Having specific 90 minute timeslots (e.g. 8:30am–10:00am) allows us to offer multiple programs a day without large breaks at a single school.

46. Are you requesting an in-person or virtual program?*

    Only one classroom program is available per class per school year; either one virtual program or one in-person program.

    1. In-Person
    2. Virtual
48. What virtual platform do you use in the classroom?*

    We ask that you make our instructors a temporary host on your account so they can conduct the program, share their screens, etc.

    Please note: For virtual programs, we have found it beneficial for learning to cap virtual classroom programs to no more than 40 students, so if you have four grade-level classes, we recommend four classroom programs.

50. How will students participate?*

    1. On their individual devices
    2. On one classroom device

54. Accommodation Information

56. What student accommodations are needed?
58. Comments/Questions

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