NEW ORDER Form

SCHOOL INFORMATION

School NAME *

Name, City, State | (e.g., St. Paul's Lutheran School Orange CA)

School ADDRESS *

Address Line 1

City

State

Zip Code

School PHONE *

School STATUS *

School START DATE *

PRINCIPAL Name *

PRINCIPAL Email *

PERSON PLACING ORDER Name *

PERSON PLACING ORDER Email *

Order METHOD *

1. Special Instructions

2. Purchase Order # (if any)

3. Digital Order?

4. Any Grade Combo? (If so, using which grade?)

5. Training Notes

6. Miscellaneous Notes (future reference)

ORDER INFORMATION (TEACHERS)

TEACHERS Grades K-2

# NEW Teachers Kindergarten

Any new or replacement Kdg. TEs needed?

Specify number needed and reason

# RETURNING Teachers Kindergarten

# NEW Teachers Grade 1

Any new or replacement Grade 1 TEs needed?

Specify number needed and reason

# RETURNING Teachers Grade 1

# NEW Teachers Grade 2

Any new or replacement Grade 2 TEs needed?

Specify number needed and reason

# RETURNING Teachers Grade 2

TEACHERS Grades 3-5

# NEW Teachers Grade 3

Any new or replacement Grade 3 TEs needed?

Specify number needed and reason

# RETURNING Teachers Grade 3

# NEW Teachers Grade 4

Any new or replacement Grade 4 TEs needed?

Specify number needed and reason

# RETURNING Teachers Grade 4

# NEW Teachers Grade 5

Any new or replacement Grade 5 TEs needed?

Specify number needed and reason

# RETURNING Teachers Grade 5

ORDER INFORMATION (STUDENTS)

STUDENTS Grades K-2

# Students Kindergarten

# Students Grade 1

# Students Grade 2

STUDENTS Grades 3-5

# Students Grade 3

# Students Grade 4

# Students Grade 5

Name