GFA LiMPETS Online Registration Form
Email address *
Name of Teacher Interested in Scheduling LiMPETS (First, Last): *
Your answer
School Name: *
Your answer
School District and County: *
Your answer
Title 1 School? *
Your school's percent free/reduced lunch? *
Your answer
Have you attended a LiMPETS Teacher Workshop? *
Required
Which monitoring program would you like to participate in? *
Required
Grade of students: *
Your answer
How many class(es) and students do you anticipate having participate in the LiMPETS program this school year? (e.g. 2 classes of 30 students, 60 students tota)l *
Your answer
Class Type (APES, ES, Biology etc): *
Your answer
Which site(s) would you prefer to monitor with your students? *
Your answer
In terms of scheduling, do you have any black-out dates we should be aware of? (e.g winter break, Easter break, testing dates.) *
Your answer
In terms of field trips, what are your time constraints? (e.g. can not leave school before 9AM, need to be back to school by 3 PM) *
Your answer
Do you have any constraints in terms of the days of the week you can go on a field trip? (e.g. only field trips on Tuesday's) *
Your answer
Additional comments?
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A copy of your responses will be emailed to the address you provided.
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