Summer School Information Request

Summer School Information Request

1. Name, Title, School District and Address.

Name:
Email
Title:
School District:
Address:
City:	State:	Zip:
Tel:	Fax:

2. Basic Summer School Information.

Number Of Weeks:		Starting Date:	Days Per Week:
Hours On Math Per Day:		Grades:	How Many Students:
Training Dates:
	Other Information:

3. Please check which Sample of a Lesson you would like to receive.

	Pre-K/K		Grade 1		Grade 2		Grade 3		Grade 4
	Grade 5		Grade 6		Grade 7		Grade 8

4. Correlations to State Tests.
Which State:

5. Correlations to Achievement Tests.
	ITBS	SAT9	Stanford	Other

6. Calendars (Please check number of days and check the appropriate grade level).

20 day (K-8)

24 day (K-4)

30 day (K-8)

Other Number Of Days

You can e-mail in your request simply by clicking the submit button now. If you would rather FAX in your request you can print this form and FAX it to 952-546-7502