Items denoted with a red asterisk * are required.
 * Teacher Email
 
 * Your Name
 
 * What grade(s) and subject(s) do you teach?
 

(for this project)
Current Year
 
 * What Days of the Week do you need?
 
 * What Class Periods will you need?
 







If you need to schedule more than one week, please save this form and then fill out a new one.
 * Please write the dates here and state which classes are double-blocked (if applicable):
 
What is your goal for your project?
 
If you are signing up for STAR classes, please state your specific goals for your visit.
 
What is the specific project you are working on for your class?
 
 * What is your classroom number?
 
 * Phone Number
 
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