Request Form for Buzzy Goes to Work
Buzzy would love the opportunity to visit you at work so he can help teach our students about the jobs our parents do to help our community.
What is your name and occupation?
Who are the Midland student(s) who will be bringing Buzzy home to go to work with you?
What location will Buzzy visit when going to work with you?
What are a few things Buzzy will do when visiting your workplace?
Do you have a special request for a day/week that you would like to have Buzzy visit?
We request that you take 15-20 pictures of Buzzy in different locations around your work site doing the many tasks that you do in a day. How would you prefer to submit the photos?
I will take the photos with a digital camera and send them in on a flash drive. (School staff will download and return the same day.)
I will take the photos with a digital camera or phone and send them in via email to
I will take the photos with digital camera or phone and text them to Mrs. Dawsey. (Phone number will be sent upon request.)
The student(s) listed above will work with school staff to create a video with your photos. Will you be able to include a sentence about each picture so the student will be able to tell about Buzzy's adventure?
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