Please provide the following information to request an AWP Education Program for your students, classroom, and/or school.
Once we have received your completed Program Request Form, a member of AWP's Education Team will contact you within 1-2 business days.

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* 1. Your First & Last Name

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* 2. Role / Title

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* 3. School Name

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* 4. Email Address

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* 5. Phone Number

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* 6. What grade level(s) are you requesting a program for? (please select all that apply)

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* 7. Approximately how many classrooms / students would you like to schedule a program for?

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* 8. Below are the program schedules that we recommend based on our curricula. What program schedule do you prefer?

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* 9. In what setting will your students be participating in this program?

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* 10. Due to COVID-19, all AWP Education Programs are operating in a virtual format until further notice. What virtual platform does your classroom utilize?

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* 11. Please list the date / week / month you would like your program to begin. 
NOTE: We cannot guarantee this date / week / month, but we will do our very best! All scheduling is based on the availability of our team of Community Educators.

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* 12. How did you hear about AWP's Education Programs?

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* 13. Please list any questions, concerns, or special requests you would like to share with AWP's Education Team:

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