Level Up Village Global Connections Registration

Teacher and School Information

Thank you for signing up for Level Up Village Global Connections! We are thrilled to welcome you to our 2022 inaugural Languages & Cultures cohort! With Level Up Village, you will connect your classroom with other teachers and students across the globe and provide your students with an opportunity to develop their understanding of other cultures through virtual video exchanges. Each classroom has an average of 20-30 students. To get started, please fill out this form. The information you provide will be used to find the best global partner for you and your students.

If you are a school administrator, please forward this form to all teachers who will be responsible for leading student groups.

First Name:

Last Name:

Your School Email:

School Name:

About You: Please provide 3-4 sentences explaining your role at your school and why you want your students to participate in a global exchange.

Country:

State:

City:

School Address Line 1

School Address Line 2

School Main Phone:

Pricing

Introductory Pricing

3 Global Exchange Tokens: $600

5 Global Exchange Tokens: $950

10 Global Exchange Tokens: $1800

1 Token is valid for 1 Global Exchange (1 Classroom up to 30 students + 1 Course + 1 Global Partner)

Tokens are valid for 2 years from date of purchase.

Minimum purchase is 3 Tokens. Once you submit this registration form, you will receive an invoice for the number of Tokens you have ordered.

If this invoice should be sent to someone else at your school, please provide their name and contact information here:

First Name:

Last Name:

Email:

Pricing

Introductory Pricing

3 Global Exchange Tokens: $300

5 Global Exchange Tokens: $475

10 Global Exchange Tokens: $900

1 Token is valid for 1 Global Exchange (1 Classroom up to 30 students + 1 Course + 1 Global Partner)

Tokens are valid for 2 years from date of purchase.

Minimum purchase is 3 Tokens. Once you submit this registration form, you will receive an invoice for the number of Tokens you have ordered.

If this invoice should be sent to someone else at your school, please provide their name and contact information here:

First Name:

Last Name:

Email:

Subject you teach:

Students' primary language:

What language are your students learning?

How many class(es) (up to 30 students each) would you like to register for September/October?

Class 1

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 2

Two classes: For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 3

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 4

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 5

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 6

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 7

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 8

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 9

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 10

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 11

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 12

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 13

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 14

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 15

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 16

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 17

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 18

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 19

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

Class 20

For each class that you would like to register, please provide the following information:

Which Course would you like to use for your exchange?

What would you like to name your Classroom? (For example: CISNEROS Spanish 3 Sec 1 Culture)

How many students will you add to this Classroom?

What is the age range of students in this Classroom? (Please select all that apply.)

Which Pacing option do you prefer*? table

LUV Teacher Agreement

To ensure that all students are given the best chances for a positive, productive, and rewarding experience with their global peers, please read and indicate your agreement with the following:

I will notify and receive consent (if required by my school policy) from the parents of my students to allow them to participate in this exchange.

I will require that my students who are participating in this exchange complete each of the assigned tasks by the due dates agreed upon with my partner teacher.

I will monitor and ensure that my students do not post or share any personally identifiable information about themselves or others (such as last name, address, social media handles, etc.) in their video submissions or via the discussion board.

I will remind students that they are representing their school and their community, and that they are bound by their school's Code of Conduct while using the platform. Similarly, I will remind them to use appropriate language, wear appropriate clothing, and act respectfully toward their classmates and global partners when creating videos or writing in the platform.

I will communicate directly with my partner teacher if I need to make any changes to the student tasks or due dates.

In order to submit your registration, you must agree to the above LUV Teacher Agreement:

I Agree