Required field(s) are indicated by an *.
* School
* District
* School Address
* City
* Zip
* School Phone
School Fax
* Principal
Principal Email
* Counselor
Counselor Email
* Contact Person
* Contact Person Email
Please select your preferred quarter for the presentation of the Operation Aware curriculum.
*
First Quarter - Begins the week of August 30, 2010 and ends the week of October 18, 2010.
Second Quarter - Begins the week of November 1, 2010 and ends the week of January 3, 2011.
Third Quarter - Begins the week of January 17, 2011 and ends the week of March 7, 2011.
Fourth Quarter - Begins the week of March 28, 2011 and ends the week of May 16, 2011.
* Total Number of Classes
Indicate the number of classes for each grade in the box.
Pre-Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Please indicate your first choice (#1) and second choice (#2) and third choice (#3). We will do our best to schedule your first choice, but it may be neccessary to use an alternate time. We schedule on a first-come, first-served basis.
Monday Morning
Monday Afternoon
Tuesday Morning
Tuesday Afternoon
Wednesday Morning
Wednesday Afternoon
Thursday Morning
Thursday Afternoon
Friday Morning
Friday Afternoon
School Begin Time
School End Time
Any other comments or special notes.