Date:
Contact Information:
Teacher's Name:
Email:
School:
Grade:
Seventh
Eighth
Ninth
Tenth
Eleventh
Twelfth
Subject:
Size of Class:
Date Assignment Begins:
Date Assignment Ends:
Brief Description of the Assignment/Project Below:
If Available, Please Upload a Copy of the Student Assignment:
Types of Materials Needed (Check all that apply):
Books
Reference Resources
Electronic resources
Magazines or Journals
Audio/Visual Materials
Please list any restrictions on the types of materials students are allows to use.