Name: 

Title: 

School: 

School Street Address: 

City:  , Georgia

Zip Code: 

School Phone: 

School Fax: 

Email: 

School Website Address: 

Describe your technology innovation.  Please include a description of how it impacts student achievement.

List the technology elements used in this innovation.

If selected, would your school be interested in participating in a statewide technology showcase (CapitolTech)?
Yes
No