IslandWood School Overnight Program Enrollment Application School Information School Name Address City State Zip Code School District Principal or Head of School Primary Contact Information First Name Last Name Title Phone Contact Fax Number Email Address Enrollment Information Estimated # of Students expected # of Classes Grade Level(s) Please indicate the preferred months you would like to attend IslandWood. Indicating less than three choice limits you chance of securing a preferred date. Naming three of the same months will be considered one choice. First ChoicePlease select... September October November December January February March April May June Second ChoicePlease select... September October November December January February March April May June Third ChoicePlease select... September October November December January February March April May June Please indicate any weeks during the school year that you are unable to attend due to testing, teacher / parent conferences, professional development, etc. How did you hear about IslandWoodPlease select... IslandWood Website Other Website / Web Search IW Flyer / Newsletter Event / Conference Invitation News Article / Advertisement IW Staff / Board / Volunteer Friend / Co-Worker School / University Other (please specify below) Other Scholarship Information Is your public school seeking a scholarship to help attend the School Overnight Program?YesNo 1) What is your school's latest percentage of students who qualify for free & reduced lunch? (If your school does not publish its rate of free & reduced lunch through the Washington Office of Superintendent of Public Instruction, documentation must be returned with your application.) 2) Do any of the grades at your school currently attend a residential environmental education program other than IslandWood? 3) What other sources of funds will your school be able to use? Describe your fundraising plans and how the students will be involved: Captcha Please enter the characters you see in this picture: Characters This helps prevent automated form submissions. If you are not sure what the characters are, make your best guess. You will have another try in the next screen.Can't see the image? Click here for an audible version in English. Need assistance with this form?