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Extended Learning Opportunity Request Form

This is exciting! We are extremely happy you are here to begin this journey.

This form is designed to gather introductory information about you and your ELO idea.

Once you complete the form, the ELO Coordinator will contact you for a meeting to continue the conversation and begin planning how we can make this experience work for you-

Use the ELO site for reference any time you need. HawksELO

tyler.hussey@rsu35.org

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Email *
Hussey *
Tyler *
tylerhussey2133@gmail.com
12 *
Who is your school counselor?
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When would you like to participate in the ELO *
Required
What period do you have a study hall?
Which Type Of ELO interests you?

*
Required
If your ELO has a community based experience, do you have access to your own transportation? *

What area/topic are you interested in exploring? 
*
Briefly explain what you are hoping to learn/experience/gain from the experience. *
A copy of your responses will be emailed to the address you provided.
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