PRIORITY PLACEMENT DEADLINE: Friday, August 21st, 2015
You will be notified of a schedule if you were able to be matched by September 11th, 2015.
We will only be serving AISD and Manor ISD 4th and 5th grades as of now. We anticipate serving other grade levels for the Spring 2016 semester.
Please complete the following and submit by:
· Scan/email to
· Fax to (512) 232-1491
· Or hand in to an UTeach Outreach representative
How to maximize your chances of being matched:
Increase your chances of being matched by signing up with another teacher on your campus with back-to-back availability. (Note: Each teacher must fill out their own profile sheet.) Provide several days with a minimum of two hour blocks available in the am & pm (first hour with teacher 1, second hour with teacher 2). Your Outreach students can then teach for 50 minutes in the classroom of teacher #1, have 10 minutes to transition and then teach the same lesson in teacher #2’s classroom for 50 minutes.
Grade Level: ____ School: ______Bilingual Class* __ yes __ no *Please note: Although we provide Spanish translation for vocabulary words, lessons will be taught in English.
Teacher Last Name: ______Teacher First Name: ______
Class Ph # ______Room # _____ Cell # (optional) ______
School Phone # ______
Email (required): ______Partner (optional): ______
Please read all directions fully before completing this schedule.
1. The exact time you have lunch: ______- ______am/pm
2. The exact time you have special classes (art, music, PE): ______- ______am/pm
3. The day of the week that you have library: ____ Time of day: ______- ______am/pm
4. Other schedule conflicts: ______
5. Number of classes you teach: _____(If more than 1, please list class start and end times below.)
Class 1: Start ______End ______
Class 2: Start ______End ______
Class 3: Start ______End ______
Fill in the chart on the back.
Chart Instructions:BLACK out all the times that you CANNOT have Outreach students in your classroom. Fill in the exact times. If you have multiple classes, please indicate the times of Class 1, 2, etc.
Time / M / T
/ W / Th / F
7:30 - 8:00 AM
8:00 – 8:05
8:05 – 8:10
8:10 – 8:15
8:15 – 8:20
8:20 – 8:25
8:25 – 8:30
8:30 – 8:35
8:35 – 8:40
8:40 – 8:45
8:45 – 8:50
8:50 – 8:55
8:55 – 9:00
9:00 – 9:05
9:05 – 9:10
9:10 – 9:15
9:15 – 9:20
9:20 – 9:25
9:25 – 9:30
9:30 – 9:35
9:35 – 9:40
9:40 – 9:45
9:45 – 9:50
9:50 – 9:55
9:55 – 10:00
10:00 – 10:05
10:05 – 10:10
10:10 – 10:15
10:15 – 10:20
10:20 – 10:25
10:25 – 10:30
10:30 – 10:35
10:35 – 10:40
10:40 – 10:45
10:45 – 10:50
10:50 – 10:55
10:55 – 11:00
11:00 – 11:05
11:05 – 11:10
11:10 – 11:15
11:15 – 11:20
11:20 – 11:25
11:25 – 11:30
11:30 – 11:35
11:35 – 11:40
11:40 – 11:45
11:45 – 11:50
11:50 – 11:55
11:55 – 12:00
12:00 – 12:05 PM
Time / M M / T T
/ W
/ Th / F
12:05 – 12:10 / T
12:10 – 12:15
12:15 – 12:20
12:20 – 12:25
12:25 – 12:30
12:30 – 12:35
12:35 – 12:40
12:40 – 12:45
12:45 – 12:50
12:50 – 12:55
12:55 – 1:00
1:00 – 1:05
1:05 – 1:10
1:10 – 1:15
1:15 – 1:20
1:20 – 1:25
1:25 – 1:30
1:30 – 1:35
1:35 – 1:40
1:40 – 1:45
1:45 – 1:50
1:50 – 1:55
1:55 – 2:00
2:00 – 2:05
2:05 – 2:10
2:10 – 2:15
2:15 – 2:20
2:20 – 2:25
2:25 – 2:30
2:30 – 2:35
2:35 – 2:40
2:40 – 2:45
ð Do not submit until you have obtained your principal’s approval.
____ I have obtained my principal’s approval for the availability listed and should not have more than one cancellation for the semester. If I must cancel more than one lesson, I understand I may not be able to participate in the future.