Ag & Earth Memorandum of Agreement 

Members of the Ag&Earth Expo Planning Committee will:

Provide supplies for classroom activities, either through direct donation or through reimbursement upon documentation of receipts

 The participating school: __________________________________ will:

 The participating classroom teacher __________________________ will:

 ______________________________             _____________________________

 Signature of School Principal                          Signature of Classroom Teacher

 

 __________________________          ______________________________   

Mailing Address of School                                   Email of Classroom Teacher                            
Including city, state, zip code                    

 

______________________________

Phone Number of Classroom Teacher

                                                             Please fax this MOA to Ag&Earth Expo Planning Committee
                                                                            Fax: 254-774-6001 or Email MOA to smith@brc.tamus.edu
  
                                                                                          

 

 

 

Demographic Information

 

Name

 

 

 

Social Security Number

 

 

Home Mailing Address

 

 

 

Home Phone Number

 

 

 

Home Email

 

 

 

Work Mailing Address

 

 

 

Work Fax Number

 

 

 

Cell/Pager Number

 

 

 

Work Email

 

 

 

Level of Instruction

 

 

 

Teaching Specialization

 

 

 

Number of Students Directly Impacted

 

 

 

Number of Students Indirectly Impacted

 

 

 

District Name

 

 

 

 

Fax to Ag&Earth Expo Planning Committee

254-774-6001 or email at smith@brc.tamus.edu

Attention: MaryAnn Smith