Curriculum Request Form

The purpose of this form is to provide St. Thomas More Catholic School (STM) a process to review electronic curriculium materials used for educational purposes. All materials used will be reviewed for compliance with the Children's Internet Protection Act (CIPA) which requires that K-12 schools and libraries in the United States use Internet filters and implement other measures to protect children from harmful online content. Teachers and Staff who use materials which have NOT reviewed through this process retain all liability.

Completed requests should be processed within 7 days.

If additional information is needed, the Curriculum Review Team will contact you.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Website Name REQUIRED Please fill out this field. Please enter valid data.

What Web Addresss Is Used to Locate the Software/App/Extension REQUIRED Please fill out this field. Please enter valid data.

Title of Product REQUIRED Please fill out this field. Please enter valid data.

Cost for Educators REQUIRED Please fill out this field. Please enter valid data.

How long does this software need to be available for use? REQUIRED Please fill out this field.

Media Type Software Website Android App iPad App Chrome Extension or Add-on

Licenced for Commercial Use? or Single User REQUIRED Single User Commercial Please fill out this field.

How did you find out about this product? Please enter valid data.

Curriculum Strand or Objectives Covered by this product: REQUIRED Please fill out this field.

Please Identfy the Staff and/or Grade Level(s) who will need this App? REQUIRED Please fill out this field. Please enter valid data.

Are Additional Student Accounts Required? REQUIRED Yes No Please fill out this field.

Teachers Can Track Student Progress Throughout the Program REQUIRED Yes No Please fill out this field.

Content and Images are Consistent with Our Catholic Faith and Respectful of Diverse Languages and Cultures REQUIRED Yes No Please fill out this field.

Are Supplemental Materials Required? (Headphones, Camera, Workbooks, etc.) Yes No

If Supplemental Materials Are Required, Please Explain.

How Will This Product Enhance Student Instruction and Learning? REQUIRED Please fill out this field.