COLORADO SPRINGS SCHOOL DISTRICT ELEVEN

Dr. Terry N. Bishop, Superintendent

Volunteer Services

COMMUNITY RESOURCE BANK REQUEST
TEACHER REQUEST FORM

Choose your dates and times carefully at least 3 weeks in advance. 

School:

Teacher:   

Phone Number:   

Best time to contact:

Grade:

# of Presentations:

# of Students per presentation:

Title of Community Resource Program OR Tour:

Curriculum Area:

Introduction :                 Follow-Up:

Speaker should emphasize: 

DATE REQUESTED:

First Choice Second Choice

TIME REQUESTED: List specific secondary class period times.

First Choice Second Choice

DO NOT SCHEDULE ON FOLLOWING TIMES:

 

Choose your dates and times carefully at least 3 weeks in advance. Check your master calendar for conflicts. We hope not to reschedule except for snow and/or emergencies.

ELEMENTARY:   Lunch Time 

Recess am/pmladefdk@d11.org

Return the Form with Signatures to:

Deanne Ladefoged 520-2302 ladefdk@d11.org

Program Manager

CRB
Volunteer Services
School District Eleven
1115 North El Paso Street

Colorado Springs, CO  80903

FAX 477-1048 DUPLICATE FORM AS NEEDED

 

Special Information: