Please print this page and submit it to Ms. Joseph to update your information.
Name as you would like it to appear: ______________________________
(Some examples: Ms. Joseph; Ms. Joseph, BA; Mrs. Joseph; Grai Joseph )
Position or Title_______________________________________________
(Some example: Science Teacher, Chief Clerk, Social Worker, Department Chair, Liaison Officer)
Email ___________________________@flintschools.org
or non-district email for non-district employees_____________________________________
(example: jdoe235@cmich.edu)
Phone _______________________
(760-1620 will be used as default for all teaching staff)
Office Hours or Planning Time _______________________________________
Describe your education, professional training, or experience. ____________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Describe your curriculum, mission, or program. (Feel free to attach a document.)
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Associate programs in residence at Holmes may provide graphics files to be included on their contact pages or as links to their program pages.
You are in no way obligated to participate in this project. Any teacher who declines to submit this form will simply be listed by name, position, email, and main office address and phone.
I authorize this information to be used on the web site for Holmes Foundation Academy.
___________________________________________________________________________
Signature and date
I authorize the use of my photograph on the web site for Holmes Foundation Academy.
___________________________________________________________________________
Signature and date