Department of Education GPS Project

 
School District:  

Contact Person:  First Name            Last Name  

Contact Email:  

Contact Phone:     (ex. 605-773-2491)

Grade Level:   (choose all that apply)
K 1st 2nd 3rd 4th 5th 6th
7th 8th 9th 10th 11th 12th  

Number of Student Participants:   

Date: Beginning Date: (ex. 1/1/2003) End Date:
   1st Choice         
   2nd Choice        
   3rd Choice