NIE Teacher Sign Up Form

Fill out the form below to get information about the Newspaper in Education Guide. You may also contact Monica Young at the Creston News Advertiser at 641-782-2141 ext. 6451, or send an email to myoung@shawmedia.com.
Teacher Information
Name*

First NameLast Name
Grades:
Subject(s):
Email*
example@example.com
School Information
School Name:
School Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Phone Number:*
Please enter a valid phone number.
Enter the number of newspapers desired for each day of the week:
Maximum 25 per week, no more than 5 per day.
Monday
Tuesday
Wednesday
Thursday
Friday
Please verify that you are human*
Should be Empty:

Teacher Information