____ Yes, our school would like to participate in Through A Child’s Eye

1. Application Form ____ Yes, our school would like to participate in Through A Child’s Eye Name of School __________________________________________________ Name of Principal __________________________________________________ School Address __________________________________________________ __________________________________________________ Phone Number ___________________________________________________ Fax Number ___________________________________________________ Number of students Grade 4 who will participate in program ___________ Coordinator/Art Teacher _____________________________________________ Email Address:_______________________________________________________ Coordinator/Contact phone (if different) ________________________________ Please complete and return to: Through A Child’s EyeWMTW-TV 477 Congress Street Portland, Me. 04101 Note: Through A Child’s Eye participating schools will be selected based on the completed applications which WMTW-TV receives. The program runs September 2008 – June 2009. Should your school be selected, WMTW-TV will contact you.

2. Application Form Please submit a brief proposal ( no more than 4 pages ) that address the following: • Project description which includes lesson plan & description of your school • How will the project further the Learning Results? • How will the cameras be used in the future? • Is there potential for replication in other classrooms? Through A Child’s Eye WMTW-TV 477 Congress Street Portland, Me. 04101 Note: Through A Child’s Eye participating schools will be selected based on the completed applications which WMTW-TV receives. The program runs September 2008 – June 2009. Should your school be selected, WMTW-TV will contact you. For any questions, please contact Liz Clarke at 207.523-4549 or eclarke@hearst.com