Canadian Kids with Cameras

Application Form

 

 

Canadian Kids with Cameras

St. Mary/St. Monica Schools

 

Student Name_____________________________________________________________

Street Address  ___________________________________________________________

City ______________________________________________________________________

Province or Territory  ____________________________________________________

Postal Code  ______________________________________________________________

Telephone (area code)_____________________________________________________

Supervising Technology Coach’s Name _____________________________________

Supervising Technology Coach’s email ______________________________________

Grade level _______________________________________________________________

Project Title _____________________________________________________________

Running Time (1 - 2 min. max) ______________________________________________

Please indicate curriculum area/subject____________________________________

Project Description:_______________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

 

I declare that this movie has been created by me ____________________________
                                                                                       (learner signature)

I declare that I assisted by verbal coaching only _____________________________
                                                                                        (coach's signature)

Mail to:

    Kindergarten - Grade Three

                            St. Monica School
                            14710 - 53 Avenue
                            Edmonton, AB
                            T6H 4C6
                            Attention:  Mrs. C. Vaage

                         Grade Four - Grade Six

                            St. Mary School
                            490 Rhatigan Rd. E.
                            Edmonton, AB
                            T6R 2E2
                            Attention:  Mrs. D. D'Agostini