Distance Resource Approval Request
Note: Please submit one resource per form unless requesting similar resources from the same publisher/vendor. Examples of similar resources: TABE Academy and CASAS Academy by Essential Education or including Math and ELA books by your favorite publisher.
Name of Person Submitting Request: *
Email Address of Person Submitting Request: *
Agency *
Publisher/Vendor Name: *
Publisher/Vendor Contact (if known):
Name of Resource(s): *
Online or Print: *
Primary subjects (Please check all that apply): *
Targeted student levels (please check all that apply): *
If a text, is it part of a series?: *
How do you intend to use this resource?: *
What do you feel are the strengths of this resource?: *
Other comments:
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