Elementary Media/Technology Integration Form
Please allow me to assist your classroom instruction by providing me with the following information. Thank you.
Your Name
Grade Level
Math/Brief Description of Topics/End Dates
Briefly describe what you will be teaching and provide end dates.
Month
Check the month(s) you will be covering this topic
September
October
November
December
January
February
March
April
May
June
ELA/Brief Description of Topics/End Dates
Briefly describe what you will be teaching and provide end dates.
Month
Check the month(s) you will be covering this topic
September
October
November
December
January
February
March
April
May
June
Science/Brief Description of Topics/End Dates
Briefly describe what you will be teaching and provide end dates.
Month
Check the month(s) you will be covering this topic
September
October
November
December
January
February
March
April
May
June
Option 11
Social Studies/Brief Description of Topics/End Dates
Briefly describe what you will be teaching and provide end dates.
Month
Check the month(s) you will be covering this topic
September
October
November
December
January
February
March
April
May
June
Option 11
Major Projects
List any major projects that you would like assistance on using technology (PowerPoint, Research paper, etc.)