Resource Request Form
Date *
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DD
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YYYY
Contact Person *
Your answer
Organization/Business *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Website Address *
Your answer
Please describe your resource. *
Your answer
How is this resource relevant to adult basic education? *
Your answer
Is your resource available at no cost to the public? *
If no, what are the fees?
Your answer
Are all materials Section 508 complaint and are accessible to those with disabilities? *
Is registration required? *
If yes, please describe the required information and any fees associated with registration.
Your answer
Is the registration information used for solicitation purposes by your organization or shared with other organizations/vendors? *
If so, please describe what information is shared and with whom.
Your answer
Please provide links to the resources you would like to be considered for posting. *
Your answer
Additional comments
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