Project SHINE Coach Request Form
Thank you you for your interest in Project SHINE.  Please complete your request by Friday, August 19 at 5:00pm.  If you have any questions or problems please contact the Project SHINE office at (415) 239-3405 or shine@ccsf.edu.
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Instructor Information
Last Name
First Name
Campus
Phone
Email
Best way for SHINE staff to reach you.
Best way for student coaches to reach you.
Coach Preferences
Please be as detailed as possible in your responses.  This information will be used to help match a coach to your needs, and will be provided to your coaches.
In my class(es), coaches usually (please check all that apply).  This information will be shared with students. *
Required
In my class(es), coaches can best help by
In my class(es), I don't want coaches to
CLASS 1 INFORMATION
Class Title and Level
Address
Room Number
Days coaches needed (check all that apply).
Any notes or comments about the days you selected (for example, if one is best).
Class Start Time
Class End Time
Estimated number of students.
Maximum number of coaches per DAY.
Maximum number of coaches per WEEK.
PREFERRED coach language skills and/or qualifications.
We will try our best to find someone who matches your request.
REQUIRED coach language skills and/or qualifications.
We will only place coaches with you who meet your requirements.  Please know this may limit your number of coaches.
Special needs and/or class considerations or challenges.
(for example technology, seniors, deaf students, etc.)
CLASS 2 INFORMATION
Class Title and Level
Address
Room Number
Days coaches needed (check all that apply).
Any notes or comments about the days you selected (for example, if one is best).
Class Start Time
Class End Time
Estimated number of students
Maximum number of coaches per DAY.
Maximum number of coaches per WEEK.
PREFERRED coach language skills and/or qualifications.
We will try our best to find someone who matches your request.
REQUIRED coach language skills and/or qualifications.
We will only place coaches with you who meet your requirements.  Please know this may limit your number of coaches.
Special needs and/or class considerations or challenges.
(for example technology, seniors, deaf students, etc.)
CLASS 3 INFORMATION
Class Title and Level
Address
Room Number
Days coaches needed (check all that apply).
Any notes or comments about the days you selected (for example, if one is best).
Class Start Time
Class End Time
Estimated number of students
Maximum number of coaches per DAY.
Maximum number of coaches per WEEK.
PREFERRED coach language skills and/or qualifications.
We will try our best to find someone who matches your request.
REQUIRED coach language skills and/or qualifications.
We will only place coaches with you who meet your requirements.  Please know this may limit your number of coaches.
Special needs and/or class considerations or challenges.
(for example technology, seniors, deaf students, etc.)
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