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 Neighborhood Bridges Program 2009-2010 

Districts Outside of Minneapolis (District #1) and St. Paul (District #625)


School Name:  
District:  
Address:  
City:  
State:  
Zip:  
 
Principal Name:  
Principal Phone:  
Principal Email:  
 
Primary Contact Name:  
Primary Contact Phone:  
Primary Contact Email:  
 
Tell us about your school  
 
Current student enrollment:  
 
Grade Levels:  
 
How many classrooms are in each grade level:  
 
How many students are in each class:  
 
Percentage of your students that are students of color:  
 
Percentage of your students that are English Language Learners:  
 
Percentage of students eligible for free or reduced-price school meals:  
 
Please provide the following information to the best of your knowledge  
 
Have you communicated to key staff members in your school about the Neighborhood Bridges program:  
Yes
No, not yet
 
Which grade level(s) are you interested in implementing Neighborhood Bridges:  
 
How many classrooms?:  
 
Which Bridges program best suits your schools needs? (please check one or both):  
31-week core
10-session abridged option
 
What interests you about the Neighborhood Bridges program? (100 words or fewer):  
 
How do you imagine utilizing the Neighborhood Bridges program as part of your school’s curriculum and philosophy? (100 words or fewer):  
 
Briefly describe the successful partnerships you have managed in the past. If you do not have previous partnership experience, tell us your vision of successful partnership for your Bridges program. (100 words or fewer):  
 
Is there anything else you would like us to know about your school?:  
 
School Responsibilities

The following are aspects of the Neighborhood Bridges Program that we feel are critical to the program's success. Please read the following carefully and check the box below to confirm your understanding of the responsibilities.
  1. Our school understands that Neighborhood Bridges is a fee-based program. For the 2009-10 school year, the 10-session abridged program is $3000 per classroom.

    The fee for the 31-week core program is $4000 per classroom. This fee for the core program covers 1/8 of the cost of the entire Neighborhood Bridges program; the additional 7/8 of the cost of the programs is supported by CTC through a grant.

  2. Our school understands that if we are located farther than a 25 mile roundtrip distance from The Children's Theatre Company, a mileage reimbursement fee may be attached to the Bridges program fee.

  3. Our school will identify the classroom teachers who will commit to a two-hour Neighborhood Bridges class each session throughout the contract period, executing a total of 31 class sessions for the core program and 10 class sessions for the abridged program.

Yes, our school understands the above responsibilities if accepted as a Neighborhood Bridges partner.
 
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