Full Name
Email
Phone
State
City
ZIP Code
What is your role?
Please select...
Teacher
Extension Agent
Informal Educator
Other
If you answered other, what is your role?
With approximately how many youth do you plan to utilize the DIGS curriculum?
What is your target age group for the DIGS curriculum?
Third Grade
Fourth Grade
Fifth Grade
Other, please specify
Select all that apply.
Please enter the target age group
Please describe the population you will be working with. Characteristics to consider: urban/rural, race/ethnicity, location, socioeconomic status, etc.
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