Innovative Learning Center Request Form
A confirmation email will be sent by noon of the next school day.
Number of Days *
Request can be made for one or two days per use/project.
Grade Level *
Type of Use *
Identify student(s)
Complete if you checked individual or small groups
Your answer
Date(s) *
Request can be made for one or two days per use/project. Number three choices in priority order. For example, 1. 2/3/14 and 2/4/14 2.2/4/14 and 2/5/14 3. 2/10/14 and 2/11/14. The first available of your choices will be sent in a confirmation email and added to the shared ILC Google Calendar.
Your answer
Teacher(s) Requesting to use Innovative Learning Center *
Your answer
Time *
List Technology and Materials needed during visit. *
Your answer
Please include your learning target/ I can statement for this lesson. *
Your answer
Submit
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