Request to Use Middle School Computer Lab

Teacher Name:
Teacher Email:
Date(s) I Require the Lab:
Number of Students by Period: PD1 PD2 PD3 PD4 PD5 PD6 PD7 PD8 PD9
The Software I Plan to Use With My Class:
What Project will Students be Working On:
The final product will be (ie. brochure, color picture, etc.)
Lesson Requires Students to use the Internet: Yes No
Additional Equipment (projector, etc.)
Chairperson:
NOTE: If you presently do not have a Roslynschools.org Email address please contact The
Office of Computer Education and Administrative Services for an application at x-353.

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