Application Form

School Application Form: Fall 2010 and Spring 2011

Section 1:

Thank you for expressing an interest in the Little Green Thumbs program provided to you by Agriculture in the Classroom (AITC) with funding from Heifer International, Environment Canada: Eco-Action, the Go Green Fund from the Ministry of Environment, and the TD Friends of the Environment Fund.

Please fill out the following application sections 2 and 3 completely to confirm your interest in Little Green Thumbs. We are no longer accepting applications for the coming 2009 / 2010 school year, however if you wish to be on the waiting list for the 2010/2011 school year, you may fill out the application form.

School Information Teacher Information
School Name: Teacher Name:
School Address: Teacher Email:
School Fax: 2nd Teacher Name:
School Email: 2nd Teacher Email:
School Principal: Other Teachers involved:
School Phone
Student Information
Grade Level of Students involved in Project (check all that apply):

  • Grade 1
  • Grade 2
  • Grade 3
  • Grade 4
  • Grade 5
  • Grade 6
  • Grade 7
  • Grade 8
  • Grade 9
  • Grade 10
  • Grade 11
  • Grade 12
Total Number of Students participating in the project:

Language Preference:

English

French

Project Information
Preference of start date (choose one of the following):

September 2010

January 2011

Little Green Thumbs will host Teachers Workshops in Saskatoon to kick start the project. It is mandatory for one teacher from each school to attend  the workshops. We are currently deciding dates for the workshops. Please indicate below which date  will work for you.

August 27- 28, 2010

September 9-10, 2010

October 1-2, 2010

Why do you as a teacher want to participate in the Little Green Thumbs program?
Describe what you would like your students to gain from being part of Little Green Thumbs.
How do you envision the community becoming involved with your Little Green Thumbs project?
As the Little Green Thumbs equipment is given to the school, what kind of long-term goals and objectives do you have for the Little Green Thumbs program at your school?
Are you willing to work closely with your school maintenance professional in the set up and upkeep of the project?
Yes

No
Will you be able to commit to the Passing on the Gift Agreement and to evaluation of the project?
Yes

No
Will your school / school division be able to pay for your mileage / accommodation to the Teachers Workshop in Saskatoon?

Thank you for filling in this application carefully and thoughtfully. Please print a copy of this page for your own records, our staff will email you to confirm the receipt of this application. If you do not receive an email within one work week, or have any questions, please contact us.