• If you are requesting programs for multiple schools, please submit a separate request form for each school. 
  • Please encapsulate all your grade levels that want programs this school year into this request form (rather than submitting separate forms for each grade level, etc.)
 

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* 1. Your name

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* 2. School 

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* 3. Your role (guidance counselor, principal, teacher, etc.)

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* 4. Phone number

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* 5. E-mail address

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* 6. Please indicate yes or no:
  • Our school understands and can accommodate the time requirements for each program: 30 minutes for each grade 1 classroom; 45 minutes for each grade 2 classroom; 60 minutes/1 hour for each grade 3 classroom; and 90 minutes/ 1.5 hours for each grade 4, 5, or 6 classroom.
  • Our school will work with The Cromwell Center to create an efficient programming schedule by fitting multiple sessions into each day, avoiding early-release days, and avoiding long gaps between sessions to the extent possible.

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