Enterprise Village Schedule Request Form

	School name*

	Contact Administrator*

	Administrator Email*

	Phone number*

	School Address / County*

	Information For The School Year: 2022 - 2023

	Open and closing time of your students' school day*

	Number of teachers using curriculum (include ESE)*

	Projected number of students attending*

	Choose one month from Sept-Dec
	--None--SeptemberOctoberNovemberDecember

	AND

	Choose one month from Jan-May*
	--Please Select--JanuaryFebruaryMarchAprilMay

	Which is your preferred choice?*
	--Please Select--Sept. - Dec.Jan. - May

	Contact teacher*

	Contact teacher's email*

	Testing or special program dates we should be aware of