Home Services Equitable Education Services Custom Services Request for Services To request a custom service, please fill out the form below. DISTRICT SERVICE REQUEST * Required Field Choose your District/School from the list below. If your District/School does not show, please enter it in the "Other District" field below. District --None-- Alexander Valley Union School District Bellevue Union School District Bennett Valley Union School District Cinnabar School District Cloverdale Unified School District Cotati-Rohnert Park Unified School District Dunham School District Forestville Union School District Fort Ross School District Geyserville Unified School District Gravenstein Union School District Guerneville School District Harmony Union School District Healdsburg Unified School District Horicon School District Kashia School District Kenwood School District Liberty School District Mark West Union School District Monte Rio Union School District Montgomery School District Oak Grove Union School District Old Adobe Union School District Petaluma City Schools Piner-Olivet Union School District Rincon Valley Union School District Roseland School District Santa Rosa City Schools Sebastopol Union School District Sonoma Valley Unified School District Twin Hills Union School District Two Rock Union School District Waugh School District West Side Union School District West Sonoma Union High School District Wilmar Union School District Windsor Unified School District Wright School District School --None-- Abraham Lincoln School Adele Harrison Middle School Albert F. Biella Elementary Alexander Valley School Altimira Middle School Analy High School Apple Blossom School Austin Creek School Bellevue School Binkley School Brook Haven School Brook Hill School Brooks Elementary School Buena Vista High School Cali Calmécac Language Academy California Virtual Academy Carpe Diem High School Casa Grande High School Cesar Chavez Language Academy Cinnabar Elementary School Cloverdale High School Comstock (Hilliard) Middle School Cook (Lawrence) Middle School Corona Creek School Credo High School Creekside High School Crossroads School Douglas L. Whited School Dunbar School Dunham Charter School El Camino Continuation High School El Molino High School El Verano School Elsie Allen High Evergreen Elementary School Flowery School Forestville Academy Forestville School Fort Ross School Gateway to College Academy Geyserville Elementary School Geyserville New Tech Academy Grant School Gravenstein Community Day School Gravenstein Elementary School Gravenstein First Guerneville School Harmony Elementary School Healdsburg Charter School-Fitch Mountain Campus Healdsburg Charter School-HES Campus Healdsburg High School Healdsburg Junior High School Helen Lehman School HES–Fitch Mountain Campus HES-Healdsburg Campus Hidden Valley Satellite School Hidden Valley School Hillcrest Middle School Horicon School J.X. Wilson School Jack London School James Monroe School Jefferson School Johanna Echols-Hansen Continuation High School John B. Riebli Elementary School John Reed School Kashia School Kawana Springs Elementary School Kenilworth Junior High School Kenwood School Kid Street Charter School La Tercera School Laguna High School Lawrence E. Jones Middle School Liberty Elementary School Liberty Primary School Live Oak Charter School Loma Vista Immersion Academy Luther Burbank School Madrone Elementary School Marce Becerra Academy Marguerite Hahn Elementary School Maria Carrillo High Mark West Charter School Mark West Elementary School Mary Collins at Cherry Valley Charter School Mattie Washburn Elementary School McDowell School McKinley School McNear School Meadow School Meadow View School Miwok Valley Elementary Charter School Monte Rio Union School Monte Vista Elementary School Montgomery High School Montgomery School North Bay Met Academy Northwest Prep at Piner-Olivet Oak Grove Elementary School Old Adobe Charter School Olivet Elementary Charter School Orchard View School Park Side School Pathways Charter School Penngrove School Petaluma Accelerated Charter School Petaluma High School Petaluma Junior High School Piner High School Piner-Olivet Charter School Pivot Charter School Prestwood School Proctor Terrace School Rancho Cotate High School REACH School Richard Crane Elementary Ridgway High School Rincon Valley Charter School: Matanzas Campus Rincon Valley Charter School: Sequoia Campus Rincon Valley Middle School River Montessori Charter School Robert L. Stevens School Roseland Accelerated Middle Roseland Collegiate Prep Roseland Creek Elementary School Roseland Elementary School Roseland University Prep Salmon Creek School: A Charter School San Antonio High School San Miguel Elementary School Santa Rosa Accelerated Charter School Santa Rosa Charter School for the Arts Santa Rosa French-American Charter School Santa Rosa High School Santa Rosa Middle School Sassarini School Schaefer (Morrice) Charter School Sebastopol Independent Charter School Sequoia School Sheppard Accelerated School Sixth Grade Academy Slater (Herbert) Middle School Sonoma Charter School Sonoma Mountain Charter School Sonoma Mountain High School Sonoma Valley High School Spring Creek Matanzas Charter: Matanzas Campus Spring Creek Matanzas Charter: Spring Creek Campus Steele Lane School Strawberry School SunRidge Charter School Taylor Mountain School Technology High School Technology Middle School Thomas Page Academy Twin Hills Charter Middle School Two Rock Union School University Elementary at La Fiesta Valley Oaks High School Valley Vista School Village Charter School Village School Washington School West Side School Willowside Middle School Wilson School Windsor High School Windsor Middle School Windsor Oaks Academy Woodland Star Charter School Wright Charter School Yulupa School Other District/School/Organization Contact Name * Contact Title * Contact Email * Contact Phone Preferred Contact Method * --None-- Phone Email Contract Signatory * If custom services are scheduled, who will sign the contract for your district/school/organization? Logistics Contact * If custom services are scheduled, who should we contact about logistical information such as exact date and time of service; location of service; technology equipment available onsite (LCD, screen, computers, etc); etc.? Please provide a name, title, email address, and phone number for this person. Describe What Services You Are Requesting * Content Areas * 21st Century Learning Arts Education/Arts Integration Career Technical Education (CTE) College & Career Readiness Common Core Standards Data & Assessment Design Lab Design Thinking Diversity, Equity, Inclusion, & Belonging (DEIB) Early College Credit/Dual Enrollment Early Literacy/School Readiness English Language Arts English Learner Services Environmental Literacy Ethnic Studies Health History/Social Science Interdisciplinary Integrated Units of Study Leadership Development Maker Education Maker Education/STEAM Master Scheduling Mathematics MTSS Multilingual Learner Services Parent Education Project Based Learning Restorative Practices Science/NGSS Strategic Planning/LCAP Student Events Teacher Development Technology Integration Transformational Coaching UPK/UTK Work-Based Learning YouthTruth Survey/Student Voice Grade Levels --None-- K-12 K-5 or K-6 6-8 or 7-8 6-12 or 7-12 9-12 Other Audience Number of Participants * Goals and Objectives For This Service Request * How Does This Service Request Align With District Wide Goals For Student Progress? Requested Dates For Services * Confirm Fee Structure * By checking here, I confirm that I have reviewed the fee structure for custom services by SCOE found at http://www.scoe.org/custom.
