Let's Look at Art presentations are for students in Santa Clara County. Program dates are during the school year. Please fill out this registration form completely. You must have JavaScript enabled to use this form. Name of contact person Title or role Work email Alternate email School phone number plus extension Alternate phone number School name School district School address What is your preference for receiving the presentation? We are offering virtual and in-class options. Our ability to fulfill an in-class request is dependent upon current COVID conditions. Either Virtual or In-Person (this flexible choice can be guaranteed) Virtual Only (this choice can be guaranteed) In-Class Only (unable to guarantee, every attempt will be made to honor) What video conferencing platform are you using for distance learning? Google Meet Zoom Other platform: Other platform Does your school receive Title 1 funding? Yes No Grade level(s) Number of classes Number of students in each class To fulfill your request, we need the following information for ALL participating teachers: Grade levels, teachers" names, Teachers" email addresses For virtual presentations, each teacher must host the video presentation and facilitate interactions with the students during the entire presentation. For in-person presentations, the teacher must remain in the classroom during the entire presentation and ensure good classroom behavior by the students, encouraging participation. Number of special needs students Are any of the classes designated as Special Day Classes (SDC) Yes No If you have any special needs students, please tell us a little bit more about their needs. Please include the number of aides who will attend the presentation. (Otherwise put N/A). Is there anything else you would like to tell us about your group? Have you received a Let’s Look at Art presentation before? Yes No How did you hear about the Let’s Look at Art program? LLAA email Program recommended by a colleague Other source: Other source
