Educational Media Center Lesson Plan
Thank you for your interest in submitting a lesson plan. Please have your lesson plan ready, as you will need to complete this two-page form. You cannot save this form; it must be complete in one sitting.

Please complete the form below. Please provide your Contact Information below:

First Name *
Your answer
Last Name *
Your answer
School Name *
If you are not currently at a school, please let us know how to contact you.
Your answer
School Location Number *
4 Digit Code
Your answer
Email Address *
Please use your InterAct email when possible.
Your answer
Educational Media Center Title used *
ie. The Wonderful Wizard of Oz
Your answer
Educational Media Center Title number used *
ie. 25665 - If you do know the number, please put NA
Your answer
How will you be submitting your lesson plan? *
Will you be entering your lesson plan here, or do you have a PDF of the lesson plan you can email?
Never submit passwords through Google Forms.
This form was created inside of Clark County School District. Report Abuse - Terms of Service