Healthcare on the Go - Download

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Digital Content Download

Digital Content Download

Iowa Intermediary Network is proud to introduce digital resources for students and educators.

9Questions

1
Name* This field is required.
First Name
Last Name
2
E-mail* This field is required.
example@example.com
3
Your Zip Code
4
Are you a teacher, student or non-educator partner?* This field is required.
Teacher
Student
Non-Educator Partner
5
Name of your Class* This field is required.
6
Grade Level Participating
Freshman
Sophomore
Junior
Senior
K-5
6-8
Other
7
How many students will be viewing this content in your classes?
8
What is the name of your school?* This field is required.
9
Select your current grade
Freshman
Sophomore
Junior
Senior
K-5
6-8
Other
Should be Empty:

Question Label

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