Request an EIR

To apply to become an EIR School, please complete the following web-based form or download and print the PDF version.

School Contact Information

1. Please provide the following contact information:
Principal name
School name
Address
Telephone number
Fax number
Email address
School Board

2. Please indicate whether you school is a...

3. Is your school a...

4. Approximately how many students are there at your school?

5. Approximately how many teachers are there at your school?

EIR Program Information

6. One of the requirements for a school involved in the EIR Program is to provide a desk, phone and mailbox for the EIR while they are onsite. If necessary, this space can be shared. Please indicate what type of facilities would be provided to the EIR while they are onsite.


7. The EIR Program requires one teacher to act as a primary contact teacher, to help with the coordination of this program. This would require approximately 2-3 hours a week. Please indicate the name of this teacher, as well as their specialty (if applicable) and grade levels that they teach.
Primary contact teacher name
Telephone number (if different from school)
Fax number (if different from school)
Grade level(s)
Email address
Area of specialty (if applicable)

8. Why do you want your school to be involved in the EIR program?


9. In which way(s), do you feel an EIR can best support your school?


10. If there is one thing that you hope to achieve by having this program in your school, what would it be?


11. Do you have any special requirement(s)/preference(s) for your EIR?


12. Is your school involved in any school support programs or business-education partnerships? (If yes, please list)


Authorization

Authorizing Principal
Date