Please complete the following questions to enter in the

SAMCAM 860 "Active Learning" Grant Program.

Teacher School District Address City State Zip Phone E-Mail Please tell us how you would take Active Learning to the next level with a SAMCAM 860 in 100 words or less.

What grade level do you teach? Pre Kindergarten Kindergarten Grades 1 – 4 Grades 5 – 8 Grades 9 – 12 What subjects do you teach (check all that apply)? Art English Computer Science History Math Science Other How many students are in your school? How many document cameras does your school have? I agree to the terms and conditions.     Please have a representative contact my technology coordinator/principal regarding the SAMCAM 860. Name Position E-Mail Phone