UPLIFT Teacher Registration Form

Teacher Name:   Helper Name:      
Daytime Phone:  

Daytime Phone:  
Grades 1-3 and 4-6
Grades 7-9 and 10-12
These two groups will have their classes in the rooms that we used during our 8 week session of UPLIFT. We have been asked to keep classes with students 6th grade and under to this side of the building, therefore we used that request to help us divide the classes in this way. Preference will be given to classes that have a specific need for certain rooms. There is a kitchen available for science labs and baking classes. If you are not familiar with the rooms available, describe the needs of your classroom and the classroom coordinator will help find a room that will suit you. You have the option to teach a class to either 1-3 grade or 4-6 grade or you can open it up to both groups. In the course description please include objectives, goals, and any extra materials needed for the class.
With the exception of Art Classes, Science Labs, and Cooking Classes these two groups will meet in the new section of Joy Christian Center. Preference will be given to classes that have a specific need for certain rooms. Describe the needs of your class and the Class Coordinator will help find a room that will suit you. You have the option to teach the class to either 7-9 grade or 10-12 grade or you can open it up to both groups. In the course description please include objectives, goals, and any extra materials needed for the class.




 
Course Name: Course Name:
Grade Level(s): Grade Level(s):
Type of classroom needed:
 		Type of classroom needed:
Course Description: Course Description:
Class Period Preferred (1st, 2nd, or 3rd):
 		Class Period Preferred (1st, 2nd, or 3rd):
Statement of Faith
In order to establish and maintain unity please make sure to carefully read our Statement of Faith and mark the appropriate space agreeing to our commitment to Christ centered teaching and conduct. (Click here to read our Statement of Faith)
I have read and agree to UPLIFT’s statement of faith.
Personal References
Please list 2 personal references that we can contact. (UPLIFT Board Member, Church Leader, Leader of an Organization that you are involved in)

Reference 1

 Reference 2

Name:  

  

Name:  

 
Relationship/Title:     Relationship/Title:    
Daytime Phone:       Daytime Phone:    
Items: Click the box in front of any additional items this event will require:
Chairs: Number of Chairs Needed:
Tables: Number of Tables Needed:
TV/VCR/DVD:
Other Items: 
   
Questions, Comments, or Concerns: 

When you click Submit this form will be emailed to the UPLIFT Class Coordinator.

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