1. Coordinator Information:

2. Principals name, e-mail or alternative contact name, phone, e-mail:

3. Class Information:

4. Scope:

5. Times requested:

6. If you need to schedule specific dates, specify dates:

7. If a particular day of the week works best, list below:

8. Check the project you are most interested in:

9. DON'T ANSWER (FOR INTERNAL USE ONLY)
Schedule of Events:

10. DON'T ANSWER (FOR INTERNAL USE ONLY)
Project Details:

11. DON'T ANSWER (FOR INTERNAL USE ONLY)
Project Report:

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