ASSISTments Ambassador Interest Survey

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The email address you list below should be the same one you use with your ASSISTments account if you have one.

Email *

What is your first name? *

What is your last name? *

In what state do you teach? *

School district name (ex: Wake County Public Schools) *

What grade level do you teach? (example: 7th Grade) *

Being an ASSISTments Certified Educator is a key eligibility requirement for Ambassadors. Please indicate your Certified status below. *

I have completed ASSISTments Certified Program

I am the process of completing ASSISTments Certified Program

I have not started but am willing to complete the ASSISTments Certified Program before the start of the Ambassador Program

Other:

Are you an Ambassador or a similar position for any other companies or products? *

Yes

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