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Main Contact & District Information
First name
*
Last name
*
District Email
*
Enter a valid business email address in this field.
Phone Number
*
Enter a valid business phone number in this field including area code.
Phone Number Extension
District Name
*
Write out your full district or school name (not an acronym).
District Street Address
*
District City
*
District Postal Code
*
Job Role
*
Please select a job title that mostly closely represents yours from the selections provided in this dropdown field.
Job Role
District Administrator
School Administrator
Technology Coordinator/Director
Curriculum Coordinator/Director
Teacher
Parent/Community Member
Other
Job title
*
Enter your district or school job title.
District Implementation Information
School(s) Implementing Program
*
Include all schools as they appear in your Student Information System.
Grade Levels
*
Select all that apply.
Elementary school
Middle school
High school
Estimated K-12 Student Enrollment Count
*
How many estimated K-12 students will have access to the program?
Student Rostering Process
*
Select one from the dropdown list.
Please Select
Clever
Classlink
Google SSO
Other
Student LMS System
*
Select one from the dropdown list.
Please Select
Google Classroom
Schoology
Canvas
Other
Key Implementation Contact
Key Implementation Contact Name
*
Who at your district or school is the point of contact to schedule trainings?
Key Implementation Contact Title
*
Key Implementation Contact Email
*
Key Implementation Contact Phone
*
Key Implementation Contact Phone Number Extension
Technical Contact
Technical Contact Name
*
Who at your district or school is the point of contact for account set up and technical matters?
Technical Contact Title
*
Technical Contact Email
*
Technical Contact Phone
*
Technical Contact Phone Number Extension
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