Apply for a Donated Set of The Walking Classroom

* All fields required

First Name:		School Street Address:
Last Name:		School City:
School Name:		School State:
E-mail Address:		School ZIP:
Title I school?	yes no	County:
School Phone Number (with area code):

What is your position at the school?

Principal
Teacher
Other:

Why do you think The Walking Classroom will benefit your students? (300 word maximum)

How do you plan to incorporate The Walking Classroom into your teaching? (300 word maximum)

How will you inform others of your participation in The Walking Classroom if you receive a donated set of materials? (300 word maximum)

Are you a blogger or do you follow any educational blogs?
(Please list blogs you recommend.)

You must agree to all statements below in order to submit your application.

1) My principal knows of and approves this application.
2) Donors of The Walking Classroom materials will be allowed to visit our school for a brief media event should they choose to do so.
3) I will regularly submit photos to The Walking Classroom of my students using program. I take full responsibility that any submitted photos that contain visible faces of children will have photo-release permission. These photos will become the property of The Walking Classroom.
4) If my class receives a donated set of Walking Classroom materials, my students will send hand-written thank you notes to the donor of our Walking Classroom materials.
5) If my class receives a donated set of Walking Classroom materials, I will participate in the online Walking Classroom teacher forum at least twice a month.

If the checkbox below is unchecked, this will invalidate your application.

Yes, I agree to all of the above statements and understand that if all of these terms are not met within two months of receiving the donated set of materials, I will return all Walking Classroom materials at my school’s expense so that other teachers are able to take full advantage of the program.

Apply for a Donated Set of The Walking Classroom Materials