SUPPORT SESSIONS AT SCHOOL REQUEST FORM

Brisbane: Complete the form with your preferred days. ILC will directly coordinate weekday options with teachers. Sunshine Coast: only on Tuesdays, Wednesdays, Fridays

Teacher's Name(Required)

Teacher's Surname(Required)

Email(Required)

School Name(Required)

School Address(Required)

Year Level/s:(Required)

Preferred days (Sunshine Coast Tuesdays, Wednesdays, Fridays ONLY)(Required)

Monday

Tuesday

Wednesday

Thursday

Friday

Number of Students(Required)

Please enter a number less than or equal to 30.

Please specify ONLY the number of students involved in the activity requested (max 30).

This field is hidden when viewing the form

Number of Students(Required)

Please specify only the number of students involved in the activity requested (max 30)

Topic for in-class session(Required)

Session required in:(Required)

Term 1

Term 2

Term 3

Term 4

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