SpringBoard Essential Information

 

Please complete the following form to best support the implementation of SpringBoard in your school/district.

 

 

 

Superintendent:  _____________________   Phone Number:  _____________________   Email:  ____________________________

Contact Person:______________   Title:  _____________________________   Phone Number:  _____________________   Email:_____________________________

 

Please mark clearly which apply to your school/district:

School Level Participation

1.  Name of High School (grades 9-12) will participate in SpringBoard?_____________

 

2.  How many Middle Schools (grades 6-8) will participate in SpringBoard?__________

 

Teacher level participation (Please include special education in these categories as well)

Middle School	# of English Teachers ____	# of Math Teachers ______
High School	# of English Teachers ____	# of Math Teachers ______

 

Projected Student Enrollment Participating in Springboard in 2005-2006:

 

Middle School______________________

 

High School________________________

 

Central Training dates this summer will be provided by the Maine Department of Education

 

Please send completed forms by fax or email to Wanda Monthey at 624-6821 or wanda.monthey@maine.gov by March 21^st, 2005.

Thank you.