Kit Request Form

Name: *

Job Title: *

Contact Phone: *

School Email: *

Home Email (for summer communication):

School/Employer: *

School District: *

Specify if "Other":

Subject(s) you teach:

Have you received an Alaska Resource kit in the past? If so, when?: *

How did you hear about us?: *

Alaska Resources Education offers a 500-level credit course (applicable for re-certificate requirements) called "Rock & Roll Around Alaska". This course is designed to teach you to utilize the Kit and Curriculum in your classroom with fun, interactive activities that are grade specific and that follow the Alaska Standards and GLE's.

Would you be interested in learning more about this course when it’s offered in your area?: *

Yes

No

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