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UMCA's Sensory-Focused Creative Arts Curriculum Interest Form
Please fill out this form if you are interested in bringing this curriculum to your school community.
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Email
*
Your email
School Name
Your answer
School Address
Your answer
Principal's Name
Your answer
Principal's Email
Your answer
Primary Contact Person
(Name and Role)
Your answer
Contact Email Address
Your answer
Phone Number
Your answer
What grade levels would you like to implement the curriculum with?
(Checkboxes – Select all that apply)
Pre-K
K-2
Grades 3-5
Grades 6-8
High School
Which student populations would benefit most from this curriculum at your school?
(Checkboxes – Select all that apply)
Students with sensory processing disorders
Students with autism
Students with IEPs
General education students
ENL/ELL students
What are your school’s main goals for implementing a sensory-focused creative arts curriculum?
Your answer
Would your school be interested in:
UMCA's In-school Sensory Curriculum
Professional Development for staff
Collaboration for progress monitoring tools
Parent and Family workshops
Design a sensory space
Class Trips (12:1:4; 8:1:4; 6:1:4)
When would you be interested in scheduling an informational meeting or demo session?
MM
/
DD
/
YYYY
Any additional questions, comments, or areas of interest?
Your answer
A copy of your responses will be emailed to the address you provided.
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