CHIME Institute

CHIME School Visit Request Form

School/affiliation:
Name of individual arranging visit:
Best Contact Phone:
Best Email Address:
Street Address:
City:
State:
Zip Code:
How many in your group?
School visits are typically most effective in teams prepared to return to their school to implement new ideas. We have found that visits including a variety of stakeholders (such as special education teachers, general education teachers, administrators, and parents) have found the most success following their visit, and we will give priority in scheduling these groups. Please list the roles of the members of your group:
Most visits include a variety of grade levels, and a visit to a particular grade level is not guaranteed, due to grade level activities and field trips. However, we will do our best to accommodate your interests. Please indicate the grade(s) in which you are most interested in observing (K-8):
What is the purpose of your visit?
Other specific requests related to your visit:
Once your questionnaire is complete and submitted, you will automatically be directed to our sign-up page

Upcoming Events

	CHIME Charter's Legacy Wall Campaign
	CHIME Lottery 2018 Results Lookup
	The Making of the CHIME Peacock

Imagine a world where all children are equally valued, a world where all children are seen as a gift.

CHIME Early Childhood
Infant/Toddler Program
Tel: 818-677-2922

CHIME Preschool
Inclusion Program
Tel: 818-677-2922

CHIME Institute's Schwarzenegger
Community School
Tel: 818-346-5100