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School Information

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Teacher Information

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First Name*:

Last Name*:

Number of Students*:

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Subject You Teach:

Additional Participating Teachers at My School

Additional Teacher(s):

Salutation	First Name	Last Name	# of Student(s)	Subject Taught

How Can We Reach You?

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Digital Materials

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)