HSA TEACHER CO-OP APPLICATION FORM

Name: ____________________________________________________________________

School: __________________________________________________________________

Address: _________________________________________________________________

School Phone: _________________________ Home Phone: _____________________

FAX: __________________________________ Email: __________________________

List your current teaching duties (grades and courses).





Describe your proposed resource in detail.





How will it help your students?



How will it help other teachers?



How can we help you accomplish your goal?



SEND TO:Teacher Co-op Program
Holt Software
203 College Street, Suite 305
Toronto, ON M5T 1P9
FAX: 416-978-1509

Applications must be received no later than May 15, 2003.