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Let's Look at Art Virtual Presentation Request

Let's Look at Art presentations are for students in Santa Clara County.

Program dates are beginning late Fall – May.

Please fill out this registration form completely.

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 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 *

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:

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