ZLMS StepUp Program

Student Application


(Deadline: September 1)

Your Name Grade

Full name of Parent(s)

Homeroom Teacher

Your home phone #

Email address (NONE if none):

What software applications are you comfortable using?

Why do you want to be a part of this program?

CLICK HERE TO SEND APPLICATION --->

Note: Prior to participation, the following permission slip must be submitted to Mr. Averill in Room 114:

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I approve of my daughter/son participating in the Buddy Step-Up Program and understand that she/he will be involved in after-school technology activities periodically during the school year. I understand that she/he will be working with the Internet in a supervised setting and will be assisting teachers with technology instruction during the school day.

 

parent signature: __________________________________________________