Technology Integration Help Form
Sign in to Google to save your progress. Learn more
Last Name *
First Name *
Subject or Content Area You Teach *
What topic or concept would you like enhanced with technology?
What technology tools do you have available for use? Check all that apply *
Required
Do you have a specific app or tool in mind?  Describe it. If none, leave blank
What day of the week would you be able to meet to discuss this idea?  Check all that apply. *
Required
Type a specific date you would like to meet.  
Not required.
What time can you meet? *
Every schedule is different, choose one that is closest to your schedule.
Required
What's the best way to contact you during school hours?  ( I will follow up!) *
Examples: Email, Twitter, Google +, Text Message, Voice Mail?  Please include your email, twitter, Google +, Cell Number
What's the best way to contact you outside of the school day?  ( I will follow up!) *
Examples: Email, Twitter, Google +, Text Message, Voice Mail?  Please include your email, twitter, Google +, Cell Number
May I contact you outside the school day? *
When do you anticipate implementing this tech tool? *
Examples: (mm/dd/yyyy) (1st, 2nd, 3rd, 4th Q) (1st semester, 2nd semester)
Submit
Clear form
Never submit passwords through Google Forms.
GoogleForms
This form was created inside of Pulaski Community School District.