Educator Interest Form - NASA Nebraska Space Grant
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First Name *
Last Name *
Email *
Would you like to be contacted about a NASA Nebraska Space Ambassador providing: (mark all that apply)
Would you like to be added to our NASA Space Grant Educator Listserv to find out more about NASA educator resources locally and nationally?  Approximately 1 email per week.  You may opt out at any time.
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Name of Your School or Organization *
City of Your School or Organization *
Grade Level or Levels (mark all that apply)
Which subjects do you teach?  There is no requirement as our program is interdisciplinary.  
Cell Phone - ONLY to text you if you win a prize at our event drawings.  If you do not enter your cell number, be sure to check your email frequently as prizes must be picked up within the hour.  
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