Teacher Name: * This form is for teachers and other individuals who work with children (birth to 12 years), looking for book titles, subject matter, or other assistance with assignments or classroom activities. Examples are: author study, multiple copies of titles for book discussion, materials for a specific subject, etc.). Note: this is NOT a form for requesting a tutor. School: * What Portage area school do you represent? Grade: * What grade level do you need this assistance for? Teacher Phone Number: * Please enter the best number to reach you at in case we have questions. Teacher E-mail: * What homework help is needed? * Please be specific (ex: books needed to be pulled for author study, subject requests, etc) When do you need the materials by? * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20162017201820192020 Any other information? Please add any other specific requests or notes to your Homework Help submission, if needed. If not, feel free to leave this blank! Thank you. Leave this field blank
