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The Braille Box School District Interest Form
This form is created especially for school districts leaders who would like more information about the Braille Box curriculum.
Thank you for your interest in The Braille Box.
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* Indicates required question
Email
*
Your email
What is your name and position/district title?
*
Your answer
What is your district phone contact number?
Your answer
How many visually impaired students are currently in your district?
*
0-10
11-40
40 or more
Do you currently have a TVI on staff?
*
Yes
No
Do you have students who you believe would benefit from exposure to braille?
Yes
No
Maybe
Clear selection
When is the best time to reach you?
*
Morning
Afternoon
*
Phone Call
Email
Zoom Meeting
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