NY/NJ MOG Artist Tracking Form 2017-2018
A Single form must be filled out for EACH DAY worked.
If you had to cancel or reschedule a date, please make sure you have emailed Edwin (ewilliams@operaed.org).
Full Name
*
First Name
Last Name
E-mail
*
Program
*
Please Select
Urban Voices NY
Urban Voices BOS
COBALT
SCO
TTO
REP
School
*
Please Select
All-City High School
Channel View School
Codman Academy Charter School
College Achieve Central Charter
Corpus Christi (Apex)
Cultural Arts Academy
Edward Everett Elementary School
Elizabeth #7 - Terence C. Reilly Elementary School
Elizabeth School #9
Elizabeth School #14
Elizabeth School #22
Ellis Mendell Elementary
Excel High School
Fordham High School for the Arts
Francis M. Leahy School
Haynes Early Ed Center
Harlem Village Academy
Hedgepeth/Williams Middle School
John Breen School
Joseph J. Hurley School
Merrick Academy
Obama Green Charter High School
P.S. 1M
P.S. 10K
P.S. 20R
P.S. 26K
P.S. 32K
P.S. 54K
P.S. 56X
P.S. 58K
P.S. 75M
P.S. 79Q
P.S. 81K
P.S. 98M
P.S. 112Q
P.S. 115K
P.S. 164K
P.S. 166M
P.S. 184M Shuang Wen School
P.S. 208K
P.S. 221K
P.S./I.S. 295Q
P.S. 327K
P.S. 329K
P.S. 373R
Parthum Elementary School
Paterson School 3
Paterson School 4
Paterson School 18
Paterson School 26
Rafael Hernandez
Ridgefield Memorial High School
The Rollins School
Sacred Heart
Sara M. Gilmore Academy
School for Excellence
Smith/Helen Y. Davis Leadership Academy
South Lawrence East Elementary School
Spark Academy
St. Rose School
The Renaissance Charter School
Thrive Academy
Wetherbee School
Whelan Elementary School
Wildwood Elementary School
William Spyropoulos School
Winship Elementary School
Woodrow Wilson Arts Integrated School
Worcester Arts Magnet School
Grade(s)
*
PK
K
1
2
3
4
5
6
7
8
9
10
11
12
Time of Arrival
*
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Time of Departure
*
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Was this the original date scheduled in your Partnership Details?
*
Yes
No
What was the original date?
*
-
Month
-
Day
Year
Date Picker Icon
Reason for change (please be specific)
*
Session #
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
other (list in notes)
# of Classes Taught:
*
How was communication with teachers?
*
How was your day at the school?
*
Additional Notes
Lesson Plan
*
Additional Lesson Plans (if needed)
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