Educator Information
First Name
*
Last Name
*
Email
*
example@example.com
Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
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Classroom Information
Tell us a little about the classroom this membership will support, including the grade level and the number of students who will receive magazines and classroom materials.
Grade(s) Served
*
Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Postsecondary / Recent Graduate
School Name
*
School District
*
State / Province
*
Number of students in the classroom
*
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Pathway / Program Alignment
This helps us understand how your classroom or program aligns with iGeneration Youth’s creative media pathways and whether it connects to an official CTE or CTC program.
Pathway / Program Alignment
Please Select
Journalism
Visual Storytelling
Photography
Multimedia & Video Production
Graphic Design & Page Layout
Motion Graphics & Animation
Communications Technology
Are you connected to a CTE program or CTC?
*
Yes
No
Official CTE Program or CTC Name
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Billing Information
Please enter the billing information for the person or organization that should receive the invoice. An invoice will be sent separately after your membership request is reviewed.
Company Name
Billing First Name
*
Billing Last Name
*
Billing Email
*
example@example.com
Billing Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Billing Street Address
*
Billing Address Line 2
Billing City
*
Billing State / Province
*
Billing Postal / Zip Code
*
Tax Exempt?
*
Please Select
Unknown
Taxable
Tax Exempt
Need Certificate
Certificate Received
Consent
I understand that submitting this form is a request to join and that iGeneration Youth may follow up before activating billing or onboarding.
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