Nikki's Community Partner Request Form
2023-24: Total EUs per year - $1750 ($1,150 Enrichment + $600 Academic)

Of the $1,150 Enrichment EUs set aside for use with elective community partners (arts, music, PE classes) $400 can be used for the 16 week fall semester and $500 can be used for the 20 week spring semester

The $600 Academic EUs can be used anytime throughout the year on center classes or academic community partners (tutoring, etc.)
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Name of student requesting PO *
Parent Email *
Name of Community Partner *
Who is the PERSON or COMPANY you want to use?  Make sure they are on the Vendor List located on the CORE Butte website - http://corebutte.org/chico_community.php *Please be sure to ask the community partner under what name they bill for CORE. Some Vendors use their personal name, some use their business name.

 
****If you are ordering KIWI CRATES or other subscription boxes - please list the names of the kits you want to order here (maximum of 1 kit per student)****
Have you already contacted this community partner to ensure that they have room/time available? *
What type of service/lessons do they provide? *
Example - piano, swim lessons, reading tutor
How often will the lessons take place? *
Examples: 1x per week, 2x per month
What is the cost per MONTH?  (not lesson) *
If the cost is different each month, please note that.  (Example: September-November $80 per month; December $40)
What month will the lessons begin? *
How long will the activity/lessons continue? *
If you selected the length of activity/lessons as "Other," please explain.
Is this activity considered "Academic" or "Elective"? *
This is not an official assignment of community partner activity. Just want to know how you would classify it.
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