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Health Science Careers Curriculum Request Form
Use this form to request your own Google Classroom edition of the Health Science Careers Curriculum. This content aligns with the SD CTE standards for Health Science Careers I.
* Indicates required question
Name
*
Your answer
email
*
Your answer
School or organization (if you are doing homeschool just type homeschool)
*
Your answer
What is your role?
*
teacher
student
site coordinator
HOSA advisor
counselor
How many students will be participating
*
Your answer
What grade level are the students?
Your answer
What is the class you are teaching? If you are a student, what are you taking? If not applicable, skip ahead.
Your answer
Which are you interested in (check all that apply)
Scrubs Savvy Health Science Careers 1 Kit
Operation Health Science Careers Kit
Pandemic Health Science Careers Kit
What date do you want to start? (We need about 1-2 weeks to assemble supplies and get the kit to you)
*
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DD
/
YYYY
What other information do you need from us?
Your answer
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