GET ON THE LIST: Form for educators

1
Your Name* This field is required.
First Name
Last Name
2
Where do you work?* This field is required.Full Name of School or Organization
3
Title/Position?* This field is required.
4
Email:* This field is required.School E-mail address (Verification e-mail will be sent)
example@example.com
Email Verified
The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification
••••
Didn't receive verification code?or
Receiving the email may take a few minutes, thank you for your patience!
5
Back-Up Email:We know things happen, and sometimes educators switch e-mail addresses or even schools. Please share your back-up e-mail address, which will only be used if your school e-mail address becomes invalid. No verification will be sent.
example@example.com
6
Grades you teach or work with?* This field is required.Select all that apply:
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
K-6th Grade
Adult Education
Post-Secondary
7
Please verify that you are human* This field is required.
Should be Empty: