Exit this survey

The purpose of this survey is to submit a request for a collaboration project with one or more Escambia County, Florida Public Schools. Upon completing this survey, you will be asked to send a verification e-mail to the office of Curriculum & Instruction. A team consisting of District curriculum professionals will review your request and contact you regarding the outcome of the review. Please answer all questions completely.

Question Title

* 1. I am currently employed with

Question Title

* 2. Please provide your contact information:

Question Title

* 3. The proposed collaboration project is designed for the following school(s).

  Elementary Schools Middle Schools High Schools Special Centers Alternative Education
#1
#2
#3

Question Title

* 4. The proposed collaboration project is designed to serve _______ students.

Question Title

* 5. The proposed collaboration project is designed for the following content area (select all that apply).

Question Title

* 6. Briefly describe the proposed collaboration project. Please be sure to include information regarding the desired outcome and the evaluation process used to measure outcomes.

Question Title

* 7. The proposed collaboration project is designed to:

Date
Date

Question Title

* 8. Have you developed a proposed budget for this project?

Question Title

* 9. Indicate all anticipated costs associated with this project.

Question Title

* 10. Identify amounts of all requested and/or anticipated funding sources.

Question Title

* 11. If approved, who is the person in your organization who will be responsible for monitoring the progress of this project?

T