Classroom Survey
Name
Email Address
This will be used for the HERO to contact you.
Phone Number
This will be used for the HERO to contact you.
Job Title
School
District
City
Grade
Subject
Approximate number of students
When would you like a community professional to speak to your students?
MM
/
DD
/
YYYY
Time
:
Please share any additional information that is relevant to your students and classroom.
Which of the following topics would you like a speaker to present about?
Clear selection
Which of the following fundraising sites have you used?
Clear selection
How did you hear about HEROES For Students?
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