Hampshire County Technology Integration Request

Submit this form to request help from your school's TIS in integrating technology into your curriculum. Use the "Submit" button at the bottom to send this request. Your request will be entered into a county TIS database so services can be correlated and documented. ONLY requests sent via this form will be honored.

You may "Save" or "Print" a copy of this form for yourself before sending it, but you will not be able to access it again after submission.

* Required

Your name? *

Your school/location? * Click to choose.

Your access email? *

Best time and place for TIS to contact you:

Your subject/ grade?

Type of technology assistance you need? * Check one and give the appropriate information below.

MODELING –TIS will teach/demonstrate a technology infused lesson/strategy in your class
CO-TEACHING –TIS will co-teach a technology infused lesson/strategy with you in your class
MENTORING –TIS will support you as you teach a technology infused lesson/strategy in your class
PRE-PLANNING –TIS will help you locate technology resources/equipment during planning
TRAINING –TIS will demonstrate equipment and/or software during planning
Other:

Explain what you want the TIS to do: Give the following information - topic being studied, CSOs being covered, skills being taught, etc....