School Information
District Name*:
School Name*:
Street Address*:
City*:
State:
TX
Zip*:
Teacher Information
First Name*:
Last Name*:
Number of Students*:
Send Materials In*:
Soonest Available
February 2023
March 2023
April 2023
May 2023
Grade You Teach:
6
Additional Participating Teachers at My School
Additional Participating Teachers at My School
Additional Teacher(s):
Salutation
First Name
Last Name
# of Student(s)
E-mail
Mr.
Ms.
Mrs.
Dr.
How Can We Reach You?
Phone:
Email Address*:
Would you be interested in an in-person presentation?
Yes:
No:
I’m going green! Please send my teacher materials digitally*
(*Digital teacher materials include: Teacher book, poster(s), teacher evaluation form,
incentive flier, state academic standards)
Comment