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2018-19 GenNET ITV District and Course Commitment Form
Please complete this form to ensure your district's commitment to holding seats for GenNET ITV seats for students during the 2018-19 School year.

NOTE: If your building is able to accommodate students enrolled in more than one GenNET ITV course during one class period, please complete this form a second time indicating the additional course and which additional room will be used for students receiving the course.

District and Building, ITV Room *
Counselor Name *
Your answer
Counselor Email *
Your answer
Counselor Telephone Contact *
Your answer
GenNET Course(s) - D0 (6:45-7:40 am)
Please list number of students to be enrolled in each course during D0
(Example: American Sign Language 2, 4 students; American Sign Language 3, 3 students)
Your answer
GenNET Course(s) D1, 1st Semester (7:45-8:40 am)
Please list number of students to be enrolled in each course name during D1
EXAMPLE: AP Psychology, 5 students; Sports Medicine, 6 students etc.
Your answer
GenNET Course(s) D2, (8:45-9:40 AM)
Please list number of students to be enrolled in each course name during D2
EXAMPLE: Abnormal Psychology, 5 students; American Sign Language 2, 4 students etc.
Your answer
GenNET Course(s) D3 (9:45-10:40 am)
Please list number of students to be enrolled in each course during D3
EXAMPLE: AP Environmental (Earth) Science, 5 students; Survey of Theatre, 6 students etc.)
Your answer
GenNET Course(s) D4, (10:45-11:40 AM)
Please list number of students to be enrolled in each course during D4
EXAMPLE: Astronomy 1, 6 students; German 2, 5 students etc.)
Your answer
GenNET Course(s) D5 (12:20-1:15 PM)
Please list number of students to be enrolled in each course during D5
EXAMPLE: American Sign Language 1, 5 students; Holocaust, 6 students etc.
Your answer
GenNET ITV Course D6 (1:20-2:15 PM)
Please list number of students to be enrolled in each course during D6
EXAMPLE: AP Biology, 3 students; German 1, 6 students etc.
Your answer
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