Independent Explorer & Deep Dive Game Use Report
Thank you for your support of the History Center. We hope that you found the materials to be a useful and enriching supplement to your curriculum. So that we can accurately report use statistics to TASF for our annual education programming we ask that you complete the form below. If you have used multiple materials, please submit a separate form for each.

If you have any questions please contact amelia@thomascountyhistory.org.

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Contact Name *
Name of School or Organization *
Contact Email *
Number of students who utilized the materials *
Number of adults who utilized the materials (if same teacher reporting for multiple class periods, only put 1. If reporting for multiple teachers, please enter total number) *
County/School District *
Is this a Homeschool Group? *
Required
Grade *
Date Utilized *
MM
/
DD
/
YYYY
Program Category *
Required
Please list title/subject of activity and state standard it fulfilled. If you used a trunk, please type N/A and answer the next question. *
Travel Trunk
Rank group knowledge of your chosen activities prior to using the materials: *
Required
Where does the use of these materials fit into your study of the topic? *
Required
Comments
Would you like to be included on our email list to receive information about upcoming programs and services offered by the Thomasville History Center? *
Required
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