Checkup Champions Interest
Interested in using the Reading Checkup for your students? Share your information, and someone from our team will reach out to you!
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Email *
First Name *
Last Name *
Organization *
I am a...(select all that apply) *
Required
I/my program serve(s)...(select all that apply) *
Required
If your program serves families, approximately how many families?
If your program serves students, approximately how many students?
Where do the families/students you serve live and/or go to school? *
My current family outreach/program includes...(select all that apply) *
Required
Select the statement(s) that apply: *
Required
Select the statement(s) that apply. *
Required
A copy of your responses will be emailed to the address you provided.
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