Breaking The Silence
Lesson Plans, games and posters created to break the silence about mental illness in our schools

Request Form

Date:
Name:
Affiliation:
Address:
City:
State:
Zip:
Phone:
Email:
required for processing
# BTS sets requested (or per grade level):
Outreach plan
Area of outreach
state:
city:
region:
Number of schools or organizations wanting
to contact:
Grade level (s):

Who you plan on contacting (teachers, psychologists, colleges, media…)

How- one on one, conferences, presentations,
classroom demonstrations, school assemblies…

Are you working alone or as part of a group?

alone group
Estimated time frame:
Describe any other relevant aspects of your
outreach project.

BTS will ask for a short evaluation of your project prior to December '05.


btslessonplans@aol.com
info@btslessonplans.org