Mismatch Pilot Interest Form
Thank you for your interest in our Mismatch pilot! Please fill out this form with as much detail as possible so that we can give you the best (mis)matching experience. Please answer the following survey for a specific classroom. If you would like to enroll multiple classrooms in the pilot please email lucy@allsides.com.

Any other questions? Feel free to contact lucy@allsides.com

Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Name of School *
Your answer
Location *
City, State
Your answer
Type of School *
What grade is the classroom that you want to enroll in the pilot? *
Required
How many students are in this classroom? *
If more than 40, please specify how many under "Other"
When would you like your students to participate? *
My school is... *
Please describe the demographic breakdown of your classroom (e.g. 30% caucasian, 20% hispanic...)
Your answer
If you feel comfortable, please share the socioeconomic breakdown of your class.
Your answer
Please share anything else you would like us to know:
Your answer
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