BIC READINESS EVAL

• SCHOOL

• Conducted on

  Date

• SUPERVISOR'S NAME

  Select ANGIE ELSA MARTI MONIQUE SHEEMA SUZETTE XANTHIA

  • ANGIE
  • ELSA
  • MARTI
  • MONIQUE
  • SHEEMA
  • SUZETTE
  • XANTHIA

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?

  Yes

  No

  N/A

• PLANNED TIME FOR BIC TO BEGIN EACH DAY

  Date

• PLANNED START DATE

  Date

• # OF HALLWAYS/WINGS

• STUDENT ENROLLMENT

• # OF CLASSROOMS

TRAINING

• HOW WILL THE BIC TRAINING BE CONDUCTED?

  IN PERSON/LIVE TRAINING

  VIA E-MAIL/ELECTRONIC TRAINING

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

  Date

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

  PRINCIPAL

  FS SUPERVISOR

  OTHER

  N/A

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

  Sign