POC INFO FOR THE SCHOOL (PROVIDE 1 OTHER PERSON BESIDES THE PRINCIPAL)

  • PRINCIPAL'S NAME

  • OTHER POC'S NAME

SCHOOL INFORMATION

  • ARE THERE MULTIPLE STORIES?

  • PLANNED TIME FOR BIC TO BEGIN EACH DAY

  • PLANNED START DATE

  • # OF HALLWAYS/WINGS

  • STUDENT ENROLLMENT

  • # OF CLASSROOMS

TRAINING

  • HOW WILL THE BIC TRAINING BE CONDUCTED?

  • APPROX. DATE TRAINING WILL BE CONDUCTED/SENT OUT IF ELECTRONIC

  • IF TRAINING IS IN PERSON/LIVE, WHO WILL BE CONDUCTING THE TRAINING (SELECT N/A IF TRAINING WILL BE ELECTRONIC)?

SUPPLIES NEEDED

  • APPROX. # OF ROLLING COOLERS NEEDED

  • APPROX. # OF BAGS NEEDED

  • OTHER SUPPLIES NEEDED (PLEASE SPECIFY)

OTHER INFORMATION & SIGNATURE

  • PLEASE PROVIDE ANY OTHER PERTINENT INFORMATION IF NECESSARY

  • SUPERVISOR'S SIGNATURE

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