International Application Form

If you would like to join us, please fill out the enrollment form and e-mail, mail or fax it back to us (Please fill in one form for each class to be enrolled. Feel free to photocopy this page.)

Please enroll me in your:

ArtLink Program [for 3rd-12th grade classes]

Partner classes outside the USA pay no exchange fee. However, you are usually responsible for paying the mailing costs of your project work to our office in Connecticut, USA.

Name of School: Name of Principal, Director or School Head:
School Phone: School Fax:
School Address, Street: Address Line 2:
Town/City State
Postal Code Country
School Year Details: Opening, Closing and Major Vacation Dates: School E-Mail Address (if any):

Teachers participating in the program:

Our programs are designed to be an interdisciplinary study. Please provide information for the primary contact and any other participating teacher:

Primary Teacher

Name of Teacher: Subject Taught:
E-Mail Address: Teacher's Cell Phone:
Best Time to Phone Teacher at School: Teacher's Home Phone:

Teacher

Name of Teacher: Subject Taught:
E-Mail Address: Teacher's Cell Phone:
Best Time to Phone Teacher at School: Teacher's Home Phone:

Teacher

Name of Teacher: Subject Taught:
E-Mail Address: Teacher's Cell Phone:
Best Time to Phone Teacher at School: Teacher's Home Phone:

Participating Class Information

{Please fill an additional form for each class participating if teachers involved are different)

Number of classes participating: Age(s):
Grade(s): Class Size:
Currently all Creative Connection’s material and project work is done only in English, Spanish, Arabic and Japanese. Which language would you prefer to receive the material in?:

Miscellaneous Information

Does your class have internet access?  Yes
Teacher has access to the internet at school:  Yes
School needs financial assistance for shipping projects:  Yes
Is there anything else you would like to tell us?


 

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Mathews Park, 303 West Avenue, Norwalk, CT 06850 | 203-803-4376 | WorldLink@CreativeConnections.org