CCSD V-Brick TV Broadcast

Please complete and submit the form below. You must submit the request 7 days prior to the program air date. E-Mail reply (within 2 days) will confirm your request.

Please provide the following contact information:

Your Full Name:
Your Email Address: (e.g.: you@ccsd.edu)
School:
Home Phone (work):

Please fill in your request by completing the form below (one request per form):

Please choose the Channel:
(See the list of available channels)

Date(s) the program will air:

Program Start Time:

Program End Time:

Grade Level you teach:

Subject area:

Name/Title of Program:

Description of Program:

Educational reason for showing this program to class:

Please include any other information you would like to share with us:

Thank you for your time and cooperation, and do not hesitate to contact us with questions, concerns, comments, etc...