Ithaca: TST BOCES Request for Services: Arts in Education, Environmental Education and Exploratory Enrichment
NOTE: Schools make reservations and arrangements; BOCES makes contracts and payments. This process often takes 6-8 weeks so you must fill out this form well ahead of the program date. Curriculum supporting material is required before the request is approved.

When filling out the form, do not autofill based on your email address. Type in the information for each question on the form.

Deadline for April/May/June events is the last day of school in March. PLAN AHEAD!!!

IMPORTANT: Consultants are allowed to have contact with students only when a district employee is present. Your submission of this form indicates that your school personnel understand this and that consultants in your school will not be asked to violate this rule.

Cancellations: It is the responsibility of the school to contact Enrichment Services ASAP if the program does not take place. Cooperative Enrichment will pay artist or vendor unless we hear otherwise from the school that the program/event was cancelled or rescheduled.
Email Address of person completing the form *
Level
Specific Building
In the other section, please indicate the grade level(s) involved
Is this an IPEI grant or FABG grant?
Clear selection
If IPEI or FABG, what is the name of your grant?
Check One: *
Number of students attending: *
Building Clerk/Request Approver: *
Building Principal *
Name of Artist/Agency *
Artist email: This must be a valid email address. Our digital system automatically sends paperwork for payment information to the artist from this email. *
Artist phone *
Please distinguish between Phone and Fax number (P) (F)
Project Start Date *
MM
/
DD
/
YYYY
Project End Date *
MM
/
DD
/
YYYY
Learning Targets *
Briefly describe what students will learn.
Preparation *
How will you and your class prepare for this program/activity?
Student Outcomes *
What knowledge, skills, attitudes, and habits of mind will students take with them from the learned experience?
Total Fees for Program *
Describe Budget Details BOCES enrichment will cost *
IMPORTANT:

1. Consultants are allowed to have contact with students only when a district employee is present. Your signature below confirms that your school personnel understand this and that consultants in your school will not be asked to violate this rule.

2. Cancellations: It is the responsibility of the School to contact Enrichment Services ASAP if this program does not take place.
*** New York State Education Department requires schools to show that Enrichment Activities are integrated into the curriculum in order to be BOCES-Aidable. You must include appropriate standards that relate to your activity in order to be approved for Aid.
Check all standards that relate to your activity below.
Does your activity correlate with a New York State Learning Module?
If the answer is yes, please list the module in other.
Please check which standards apply:
Anchor Standards for the Arts
Please check which standards apply:
Anchor Standards for ELA: Speaking and Listening
Please check which standards apply:
Anchor Standards for Social Studies
Please check which standards apply:
Next Generation Science Standards: Scientific and Engineering Practices
Please check which standards apply:
Anchor Standards for Math
Other Standards
List other standards and appropriate curricular connections if any.
Payment: BOCES is in charge of payment -- do not pay consultant directly.
Submit
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