Kindness Coordinator Information

Thank you for signing up for the Ben's Bells Kind Kids/Kind Campus program for the 2012-2013 school year. Please fill out the following information about your school. When you are finished, hit submit, and you are ready to go! We look forward to partnering with your school to spread kindness throughout your campus!

*Required

*Coordinator's Name

 

*Email Address

 

*Phone Number

 

*School

 

*District

 

*School Phone Number

 

*School Street Address

 

*Principal's Name

 

*What grade levels are represented at your school?

 

*Approximately how many students attend your school?

 

What club/organization at the school will coordinate Kind Campus?
For Kind Campus Only (6th-12th grade)

 

Student Leader(s) Name
For Kind Campus Only (6th-12th grade)

 

Student Leader(s) Email Address
For Kind Campus Only (6th-12th grade)

 

Please answer YES or NO to the following prompt.

Does your art department have a slab roller, a kiln, and are interested in helping to produce pieces for the Ben's Bells Kind Kids and Kind Campus Program?
For Kind Campus Only (6th-12th grade)

 

Please provide 2-3 responses to the following prompt. We encourage you to think creatively about this topic, but try to be as specific in your answers as possible. Your responses will help us to develop tools for measuring the success of the Kind Kids/Campus Program.

*A change I would like to see in our school, families, or community as a result of implementing the Kind Campus Program is...