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Request For Instructional Technology Coaching

Request for Instructional Technology Coaching

Fill out this request form for instructional technology coaching.

Question Title

* 1. School Requesting Instructional Technology Coaching

Question Title

* 2. At what grade level will this lesson be used? Choose all that apply.

PK

K

1

2

3

4

5

6

7

8

9

10

11

12

Other (please specify)

Question Title

* 3. In what subject area would the integration take place? (Check all that apply)

ELA

Mathematics

Science

Social Studies

CTE

Art

Other

Music

Physical Education

Other (please specify)

Question Title

* 4. List a date for a pre-planning session.

Date

Date

Question Title

* 5. What date do you anticipate integration beginning?

Date

Date

Question Title

* 6. Contact person at school

First Name

Last Name

Room No.

BPS email address

Phone number

Question Title

* 7. What technology would you like to use and integrate?

Graphic Organizers/Inspiration & Kidspiration

Teacher/School Web Page

Podcasting

Digital Video

Interactive Whiteboard (Promethean)

Science Probeware

Videoconferencing

DimensionU

Activote Clickers

Castle Learning

NovaNet

Other (please specify)

Question Title

* 8. Provide a brief narrative of the technology integration activity you envision.
Examples:
-Collaboration with an ITC to create an in-class lesson utilizing Castle Learning and Activotes
-Work with an ITC to model best practices with Interactive Whiteboards
-Collaborate with an ITC to create a science lesson utilizing science probeware