South Carolina Schools Virtual Reality Bundle Application

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* 1. Name of School

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* 2. City

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* 3. County

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* 4. Level

Middle School

High School

Other

Other (please specify)

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* 5. What is your name?

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* 6. Are you a classroom teacher, school administrator, counselor, instructional coordinator or something else?

Classroom teacher

Administrator

Counselor

Instructional coordinator

Something else

Other (please specify)

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* 7. What is your position?

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* 8. Number of enrolled students for the current school year?

Less than 200

201-500

501-700

701-1000

1,000+

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* 9. Please categorize your school district's demographic makeup?

Urban

Rural

Suburban

Urban-Suburban

Suburban-Rural

Urban-Rural

Urban-Suburban-Rural

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* 10. Average ACT Score

19 or over

Under 19

Not applicable or unknown

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* 11. Does your school site have a champion for the virtual reality readiness program?

Yes

Very likely

Please elaborate if necessary.

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* 12. Is the principal of your school supportive of the program?

Yes

Unsure

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* 13. If selected, when would you be able to begin implementing in the classroom?

Sometime in the spring semester '23

Summer session '23

Fall '23

Spring '24

Unknown

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* 14. Does your school currently have experience with virtual reality or augmented reality?

Yes - a lot

Yes - a little

No, but willing to learn

South Carolina Schools Virtual Reality Bundle Application

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* 1. Name of School

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* 2. City

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* 3. County

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* 4. Level

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* 5. What is your name?

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* 6. Are you a classroom teacher, school administrator, counselor, instructional coordinator or something else?

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* 7. What is your position?

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* 8. Number of enrolled students for the current school year?

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* 9. Please categorize your school district's demographic makeup?

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* 10. Average ACT Score

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* 11. Does your school site have a champion for the virtual reality readiness program?

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* 12. Is the principal of your school supportive of the program?

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* 13. If selected, when would you be able to begin implementing in the classroom?

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* 14. Does your school currently have experience with virtual reality or augmented reality?

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* 15. Contact Email

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* 16. Contact Phone: