Request edit access
Nourishing Literacy 2019/2020 Classroom Intake Form
Hello Teachers! Thank you for your interest in involving your students in Nourishing Literacy this school year. Nourishing Literacy is the Culinary Literacy Center’s set of programs that connect youth, teachers, and caregivers to the library through educational cooking opportunities. Preschool through high school groups are invited to participate in programs that connect food education to academic learning standards and library skills. Completing this form begins the process of registering your class for a field trip to Parkway Central Library's Culinary Literacy Center. The form takes ten to fifteen minutes to complete. You will receive a response as soon as possible. Thank you for your time!
Email address *
Teacher Name: *
Your answer
School: *
Your answer
Grade Level: *
Your answer
Ages of Students: *
Your answer
Number of Students: *
Your answer
Are you the point-person for coordinating the visits for multiple classrooms from your school? *
Required
If the scheduling point-person for multiple teachers from your school, please include your colleagues' names and grade levels taught. Thank you! *
Your answer
If the scheduling point-person for multiple teachers from your school, please include your colleagues' email addresses. Thank you! *
Your answer
School Street Address: *
Your answer
School Zip Code: *
Your answer
School Phone Number: *
Your answer
Teacher Cell Phone (used day-of program only, if-needed): *
Your answer
Have you worked with the Nourishing Literacy program before? *
Your answer
School Day Start-Time: *
Time
:
School Day End-Time: *
Time
:
Classroom Lunch Period: *
Time
:
A cooking class and an accompanying in-school classroom visit are offered for free to Philadelphia public and charter school classrooms. A fee of $200 per class is charged to private schools, schools outside of Philadelphia county, homeschool groups (minimum 15 students), and Philadelphia public school classrooms interested in visiting for a second time within the school year.
Type of School: *
Required
Nourishing Literacy is an inclusive program; specific classroom information is requested in best meeting your students' needs. All information is protected and treated with care when working with your students.
Number of students who are English Language Learners and language(s) spoken among your student group: *
Your answer
Number of students who have special needs and type of special need(s) among your student group: *
Your answer
Number of students who receive one-on-one support: *
Your answer
Additional information about students with language needs, special needs, or other needs: *
Your answer
Student allergies, food intolerances, and food needs: *
Your answer
The Culinary Literacy Center is unable to cover the cost of bussing to Parkway Central Library. If the cost of a bus is prohibitive for participation, please include this information in the body of this form (final question with space for writing) or please be in touch with Shayna, marmars(at)freelibrary.org so we can collect this information.
Mode of Transportation:
Cooking class time slots are generally 10:00 to 11:45 AM and 12:30 to 2:15 PM. Slightly shorter class times are offered to our PK through 1st grade students and slightly longer class times are offered to our 9th through 12th grade students. Classes take place on Tuesdays and Fridays, with occasional availability on alternative days of the week. Travel up and down the elevators to the kitchen classroom take an additional fifteen minutes each way. We also have limited spaces for afterschool groups (minimum 15 students).
Requested Program Time Slot: *
Required
Requested Program Day: *
Required
We are able to host two classrooms from one school on a single day. We arrange a full day schedule in which students visit additional departments throughout Parkway Central Library. We can also schedule full day visits for single classrooms. If staying for a longer day, students bring their lunch with them.
Visit Type: *
Required
We currently have three lesson blocks to choose from, modified for each grade level. We will do our best to meet your requests as much as possible.
"Better Together" focuses on community, roles, and systems. Students practice constructive communication as they contribute toward the completion of a shared goal. Understanding the parts that the students play in the greater whole of their communities, as well as the parts that different foods play in overall wellness are concepts that are explored throughout the cooking activity. Students have the opportunity to learn about the USDA recommended food groups that make up a balanced plate. "Better Together" is offered in November, 2019 through January, 2020.
"Flavor Finders" encourages students to keep an open mind about food, place, and people through curiosity, discovery, and non-judgement. Philadelphia neighborhoods are featured as students identify different ingredients and gather information about where these foods can be sourced. Maps, storytelling, and the senses are used as tools for learning more about each other and our environment. Students practice low sodium cooking techniques through the use of spice, flavor, and texture. "Flavor Finders" is offered in February through April, 2020.
"Powerful Plants" celebrates the variety and value of plants that can also be food. Students gain information about the life cycle of a plant, conditions for growth, and the parts of the plant. Sequencing, problem solving, and information organization are included in the learning process. The cooking activity features a range of colorful produce rich in textures, tastes, vitamins, and minerals. "Powerful Plants" is offered in April through June, 2020.
Requested Lesson - 1st Choice: *
Required
Requested Month for Visit - 1st Choice *
Your answer
Requested Lesson - 2nd Choice *
Required
Requested Month for Visit - 2nd Choice *
Your answer
The Nourishing Literacy team is available to visit classrooms at their school site when at least two classrooms from a single school participate in the same lesson block. These visits are thirty to forty-five minutes long and are an extension to the cooking class. They are held on Wednesdays and Thursdays; occasionally we are able to visit on alternative days of the week. Generally, these visits take place after the students' cooking class, however these visits can also work in advance to the cooking class. We do our best to schedule a time that works within your schedule, while accommodating an additional classroom teacher or more from your school, as well as our team's availability.
Requested In-Classroom Visit Day(s) - 1st Choice: *
Your answer
Requested In-Classroom Visit Time(s) - 1st Choice *
Your answer
Requested In-Classroom Visit Day(s) - 2nd Choice *
Your answer
Requested In-Classroom Visit Time(s) - 2nd Choice *
Your answer
Additional Information to Share and/or Questions:
Your answer
Thank you for your time! We are looking forward to working with you and your students!
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy