Alaska Close Up - Letter of Interest
* Required
Email address
*
Your email
Alaska Close Up is an experiential learning program that fosters a sense of civic responsibility in students and creates greater understanding of Alaska state government. Interested for your grade 7 - 12 students? Start by sharing your name.
*
Your answer
What is your phone number?
*
Your answer
What would be the best way for us to reach you to follow-up and solidify spots for your students?
*
Your answer
Next, what is your role within your district?
*
Your answer
Which session works best for you?
Alaska Close Up Session 1 - February 10 - 15, 2019
Government Internship Session 1 - February 10 - 15, 2019
Alaska Close Up Session 2 - February 24 - March 1, 2019
Government Internship Session 2 - February 24 - March 1, 2019
Then let us know how many students you hope to have participate.
Your answer
What communities will these students be traveling from?
Your answer
Who will chaperone? 1 for every 5 students, please. Unsure at this point? No problem.
Your answer
Do you have any questions for us?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of SERRC.
Report Abuse
-
Terms of Service
Forms
