USS-DATA Curriculum Modules Application

For access to the free modules, please complete the application below.

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Name *
Email *
Role *
School, School District, or Institution *
School/Institution City and State *
Which module(s) are you interested in?
*
Required
Tell us why you are interested in this module(s) and how you think you might use it. *
For what course(s) and grade level(s) might you use the module(s)? *
How many students might use the module(s)? *
Do you plan to use the module(s) on your own or with other colleagues? If you plan to implement with others, please indicate their roles and the classes and grades in which they would use it. *
How did you hear about the USS-DATA curriculum module(s)?
*
Would you be willing to take a short feedback survey after you use the module(s)? *
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