Classroom Champions Information Form

Thank you for your interest in Classroom Champions! Please provide your information below so we may contact you when our next application period opens.

Visit our website for more information about Classroom Champions. You can also follow us on Twitter (@ClassroomChamps) and 'Like' us on Facebook to stay up to date!

Teacher Contact Information

Title *

First Name *

Last Name *

Email Address *

What is your current position? *

Self-Contained Teacher (teach multiple subjects to same students all day)

Content-Area Teacher (teach specific subjects to different groups of students)

School Leader

Other Other

What grade(s) do you teach? (If applicable)

School Information

School Name *

School City/Town *

State *

Which best describes your school? *

Traditional Public School

Public Charter School

Private School

Grades Served * 🛈

Approximately what percentage of students at this school are eligible for free or reduced-price lunch? (xx%) *

How did you learn about Classroom Champions? *

Additional comments 🛈