Schools & Teachers

Online Participation Form

*School Contact Person:
*School Contact Person's
Email Address:
*School Name:
*School District:
School Mailing Address
*Street:
*City:
*State:
*Zip:
School Physical Address
*Street:
*City:
*State:
*Zip:
School Enrollment Information
*# of Classrooms
in Grade 2:
*# of Students
in Grade 2:
*# of Classrooms
in Grade 3:
*# of Students
in Grade 3:
*# of Classrooms
in Grade 4:
*# of Students
in Grade 4:
*Total School Enrollment:
Need Statement

*Please include statistics, demographics, current reading proficiency levels, other reading incentive programs, and how you would use the Limos for Learning program to benefit students.

* = required field