STEAM Initiative Waitlist
Thank you for your interest in participating in this year's program. Please complete the form below to be added to our waitlist
Name *
Email address *
School & Grade *
How many students are currently in your class? *
What percentage of your students would you estimate have hygiene needs or concerns (such as lack of lotion, socks, lip balm, sunscreen, etc.)? *
Which items would be most beneficial for your students to receive? (check all that apply) *
Required
Would you be open to sharing quick feedback during the school year to help us measure program success? *
Why are you interested in participating in our program? *
How did you hear about us? *
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