Coaching Request Form
Would you like help integrating technology into your classroom or area of specialization?

Please complete this form to sign up to work with Technology Coach, Kim Ramos. Coaching can be short-term (1-3 class sessions, focused on a particular tool) or long-term (several class & planning sessions over a few weeks, focused on broader goals).

All are welcome! Coaching is not limited to classroom teachers and can be adapted for your particular role.

Email address *
School *
If you work in several schools, please choose where you would like the coaching to take place.
Grade(s) *
Content Area *
If you teach multiple content areas, please list which area you would like to focus on first.
Your answer
What is your role? *
What type of coaching are you looking for? *
What would you like to accomplish? *
Your answer
When are you available to plan for your sessions? *
Choose all that apply.
What is the best way to contact you? *
Phone Number
(Only necessary if this is your preferred method of contact.)
Your answer
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