Teacher’s Name: 

Campus:

GHS GMS Weldon Broadway Gay

Type VC Needed:

Field trip Project In-Service Other

Title of Conference:

Conference Provider:

Phone No. of  Provider:

Date (MM/DD/YY):

Start Time/End Time:

Include the time zone of the VC provider. 

Grade and Content Area:

Number of Participants:

Special Instructions or Questions:

Cost of Videoconference:

Fee Paid by:

Campus Principal Technology Department

Status of Transportation:

The Technology Department

Is not responsible for transportation arrangements.

Teachers should coordinate with their principal in regards to transportation arrangements and fees.

VC transportation has been approved by the campus

         principal.

VC transportation has NOT been approved by the

         campus principal.

Signatures:

_____________________________________________

                           Campus Principal

_____________________________________________

                                   Teacher