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DO NOT USE: OLD In-School Teacher Reporting Form
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https://www.achill.life/info-for/teachers/
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* Indicates required question
Date of Activity
*
MM
/
DD
/
YYYY
Start Time of LCE Activity
*
MM
/
DD
/
YYYY
Start Time of LCE Class
*
Time
:
AM
PM
Activity Location
*
Time
:
AM
PM
LCE Class Location
*
Choose
AGSD - Dot Lake
AGSD - Eagle
AGSD - Mentasta
AGSD - Northway
AGSD - Tanacross
AGSD - Tetlin
AGSD - Tok
YKSD - Allakaket
YKSD - Hughes
YKSD - Huslia
YKSD - Kaltag
YKSD - Koyukuk
YKSD - Manley
YSKD - Minto
AGSD - Northway
YSKD - Nulato
YKSD - Rampart
YKSD - Ruby
In-School Teacher Present
*
Choose
AGSD- Lindsay Brush
AGSD- Elizabeth Fabian
AGSD- Bryn Fadum
AGSD- Janine Holmes
AGSD- Marlys House
AGSD- Denise Key
AGSD- Craig Roach
AGSD- Julie Selves
AGSD- Molli Webb
YKSD- Judith-Hope Bates
YKSD- Heather Bjerke
YKSD- Scott Brucker
YKSD- Melvin Captain
YKSD- Sigwein Cleveland
YKSD- Mike Day
YKSD- Steve Duby
YKSD- Anne Elshazly
YKSD- Paul Gilbert
YKSD- Amy Graham
YKSD- Mickey Kenny
YKSD- Christine Krause
YKSD- Nancy Mason
YKSD- Chad Snyder
School Class LCE Attends
*
Choose
Mixed Vet 100 and Animal Science
Mixed Vet 100 and Alaska Culture - Dog Mushing
Mixed Veterinary Technology and Animal Science
Mixed Veterinary Technology and Alaska Culture - Dog Mushing
Only Animal Science
Only Alaska Culture - Dog Mushing
Only After-School In-Kennel
Only After-School In-Classroom
Mixed After-School In-Kennel and After-School In-Classroom
Other (fill in below)
Other School Class (if applicable to above)
Your answer
Students of what grade level(s) participated?
*
Choose
Middle School
High School
Middle School AND High School
Elementary through High School
Elementary School
Topics Covered & Description of Class
*
Your answer
In-School Teacher Comments
Your answer
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