Name *
Your answer
Class *
Your answer
Requested Date *
*Subject to change based on number day schedule. Please fill out a separate form for each Media Center/computer lab day you wish to schedule.
MM
/
DD
Day *
Class(es) *
Required
Number of computers *
Your answer
Would you like media center instruction for your students? *
Please explain the research and/or technology project for your students. Also include any special notes (i.e. specifying a lab you would prefer; if requesting chromebooks, please provide your Room #).
If you have handouts or directions, please email Jaime or Shane. IF REQUESTING TO USE CHROMEBOOKS IN YOUR ROOM, PLEASE PROVIDE YOUR ROOM #!
Your answer
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