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Rhinelander PIE Teacher Request Form
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* Required
Name of requester
*
Your answer
Requester contact email
*
Your answer
Requester contact phone number
Your answer
School (location)
*
Central School
Nativity
Crescent School
James Williams Middle School
NCES
Pelican School
Rhinelander High School
Zion
Other:
Requested Time frame
Use this section for requests that are flexable in when they are fullfilled. Use the Other field to indicate details.
Ongoing
Not date specific
September - October
November - December
January - February
March - April
May - June
July - August
Other:
Specific Date and Time requested
Use this section for requests that involve specific dates and times
MM
/
DD
/
YYYY
Time
:
AM
PM
Nature of the request
*
Classroom Speaker
Site Tour
Request for Materials
Classroom/Project Assistance (interview day, reading to students)
Job Shadow
Work Site job task
Other:
Description of the request. Be as specific as possible.
Your answer
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