Aggie Classrooms Application:
Please answer the questions below and send the filled out application as an
attachment to aggieclassrooms@alumni.ucdavis.edu or fax it to (530) 752-3395.
I am ____________ and I teach ________ grade at
________________ Elementary School. I want to apply for my
classroom to be a UC Davis Aggie Classroom.
Teacher Name:
UC Davis Alumni (Y/N)?:
If Yes, Graduation Year and Major:
Teacher Email:
Teacher Phone Number:
About Your Classroom
Grade Level (your classroom)*:
Number of Students (your classroom)*:
Shirt sizes (we want to send you and your classroom UC Davis
apparel! Tell us your shirt sizes and number of people in need of
that size. We will do our best to provide shirts around these
sizes, but we cannot guarantee exactness)
Shirt size (xs,s,m,l…etc.)
About Your School and District
School Name*:
School District*:
School Address*:
Number of Shirts
School API score*:
Number of Students receiving Free or Reduced Lunch (entire
school)*:
High School District(s) your students will become a part of*:
High School Drop out rate in your district:
College attendance rate of students in your school district:
Teacher Wish List (Are there educational supplies that would
enhance your classroom environment if we could provide them?):
Which of the following Aggie Classrooms activities is your
classroom interested in participating in (Yes or No)?
*Please note that we can only do a limited number of school visits every quarter
SAA board visit to your school (includes college presentation):
Visit to UC Davis Campus (includes college presentation, campus
tour and assorted activities):
Join SAA Board for an Aggie Tradition event (examples include oncampus Farmers Market, Football game, Pajamarino):
Skype call with SAA board members (includes college presentation):
Why do you want your class to be an Aggie Classroom? (250 words
maximum)
If selected, what do you expect out of the program? (250 words
maximum)