Resource Request Form
The resources provided to you by the Catskill Regional Teacher Center is to support your instructional practice. You may be asked to complete follow up activities that may include providing a report or completing a survey.
Email address *
Your Name
Your answer
School District (listed alphabetically)
What grade(s) and/or subject do you teach?
Your answer
What do you want to borrow?
If you selected Ellison Dies or Math and Movement Mats, please list what dies or mats you need. Allow 1-2 weeks for delivery
Your answer
How many are you looking to borrow?
Your answer
Please describe the class or classes you will use these materials for.
Your answer
How will these materials improve your instruction?
Your answer
When will you need these materials?
MM
/
DD
/
YYYY
When will you return these materials? (3 week max please)
MM
/
DD
/
YYYY
What additional support will you need from the CRTC?
Your answer
The resources provided to you by the Catskill Regional Teacher Center is to support your instructional practice. You may be asked to complete follow up activities that might include providing a report or completing a survey. Do you agree to these terms?
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