<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> (function (w, d, s, l, i) {<!-- [et_pb_line_break_holder] --> w[l] = w[l] || []; w[l].push({<!-- [et_pb_line_break_holder] --> 'gtm.start':<!-- [et_pb_line_break_holder] --> new Date().getTime(), event: 'gtm.js'<!-- [et_pb_line_break_holder] --> }); var f = d.getElementsByTagName(s)[0],<!-- [et_pb_line_break_holder] --> j = d.createElement(s), dl = l != 'dataLayer' ? '&l=' + l : ''; j.async = true; j.src =<!-- [et_pb_line_break_holder] --> 'https://www.googletagmanager.com/gtm.js?id=' + i + dl; f.parentNode.insertBefore(j, f);<!-- [et_pb_line_break_holder] --> })(window, document, 'script', 'dataLayer', 'GTM-N7MRC4W');<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> FlinnPREP<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> Courses<!-- [et_pb_line_break_holder] --> Lab Solutions<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> Why FlinnPREP™ ?<!-- [et_pb_line_break_holder] --> Our Team<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> Login<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> |<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> Register<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> Forgot Password?<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> Courses<!-- [et_pb_line_break_holder] --> Lab Solutions<!-- [et_pb_line_break_holder] --> Why FlinnPREP ?<!-- [et_pb_line_break_holder] --> Our Team<!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] --> <!-- [et_pb_line_break_holder] -->
Your information on the following form is greatly appreciated. Please include as much detail as you’re able to qualify for the FlinnPREP™ Pilot Program.
<form accept-charset="utf-8" name="10afe985-1ee7-4288-9422-fed7e2f9354e" class="maForm" method="POST" action="https://apps.net-results.com/data/public/IncomingForm/Ma/submit" ><div class="maFormElement maFormFieldTypeComboName"><div class="maFormComboContainer"><div class="maFormComboHalf maFormComboFirstHalf"><label for="first_name" id="first_nameLabel" class="formComboNameLabel ">First Name<span class="formRequiredLabel">*</span><input type="text" id="first_name" name="first_name" class="formText formComboName formRequired" value="" /></label></div><div class="maFormComboHalf maFormComboSecondHalf"><label for="last_name" id="last_nameLabel" class="formComboNameLabel ">Last Name<span class="formRequiredLabel">*</span><input type="text" id="last_name" name="last_name" class="formText formComboName formRequired" value="" /></label></div></div></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1536596616520_4393" id="ma-form-element-yui_3_18_1_1_1536596616520_4393Label" class="">School District Name<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1536596616520_4393" class="formText formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1536596616520_4924" id="ma-form-element-yui_3_18_1_1_1536596616520_4924Label" class="">Email Address<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1536596616520_4924" class="formText formEmail formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardCheckbox"><label for="ma-form-element-yui_3_18_1_1_1536596616520_5343" id="ma-form-element-yui_3_18_1_1_1536596616520_5343Label" class="formCheckboxListLabel">What area of your AP® Science Program are you seeking to develop or enhance? (select all that apply)<span class="formRequiredLabel">*</span><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Student Performance ]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Student Performance " name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Student Performance ]">Student Performance </label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Teaching Tools]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Teaching Tools" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Teaching Tools]">Teaching Tools</label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Student Participation]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Student Participation" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Student Participation]">Student Participation</label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Equitable Access]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Equitable Access" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Equitable Access]">Equitable Access</label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Other (please describe below)]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Other (please describe below)" name="ma-form-element-yui_3_18_1_1_1536596616520_5343[Other (please describe below)]">Other (please describe below)</label></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1536596616520_6355" id="ma-form-element-yui_3_18_1_1_1536596616520_6355Label" class="">Other (please describe)<input type="text" name="ma-form-element-yui_3_18_1_1_1536596616520_6355" class="formText " value="" /></label></div><div class="maFormElement maFormFieldTypeStandardTextarea"><label for="ma-form-element-yui_3_18_1_1_1536596616520_8173" id="ma-form-element-yui_3_18_1_1_1536596616520_8173Label" class="">How many AP® science sections of each discipline are offered in your district? (AP® Biology, AP® Chemistry, AP® Environmental Science and AP® Physics 1)<textarea name="ma-form-element-yui_3_18_1_1_1536596616520_8173" class="formTextarea "></textarea></label></div><div class="maFormElement maFormFieldTypeStandardTextarea"><label for="ma-form-element-yui_3_18_1_1_1536596616520_9192" id="ma-form-element-yui_3_18_1_1_1536596616520_9192Label" class="">What supplemental instruction materials are being used today for your AP® Science Program? Please explain.<span class="formRequiredLabel">*</span><textarea name="ma-form-element-yui_3_18_1_1_1536596616520_9192" class="formTextarea formRequired"></textarea></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1536596616520_8903" id="ma-form-element-yui_3_18_1_1_1536596616520_8903Label" class="">Who would authorize the purchase of new supplemental instruction materials like FlinnPREP® courses for your AP® Science Program for your district? <span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1536596616520_8903" class="formText formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardRadio"><label for="ma-form-element-yui_3_18_1_1_1536596616520_9892" id="ma-form-element-yui_3_18_1_1_1536596616520_9892Label" class="formRadioListLabel">Does your current AP® Science curriculum incorporate any of Flinn’s pre-assembled lab kits for hands-on learning?<span class="formRequiredLabel">*</span><label class="formRadioLabel"><input id="ma-form-element-yui_3_18_1_1_1536596616520_9892-0" class="formRadio formRadioList formRequired" type="radio" value="Yes" name="ma-form-element-yui_3_18_1_1_1536596616520_9892"/>Yes</label><label class="formRadioLabel"><input id="ma-form-element-yui_3_18_1_1_1536596616520_9892-1" class="formRadio formRadioList formRequired" type="radio" value="No" name="ma-form-element-yui_3_18_1_1_1536596616520_9892"/>No</label></label></div><div class="maFormElement maFormFieldTypeStandardSubmitButton"><button name="ma-form-element-yui_3_18_1_1_1536596050490_4270" class="formSubmit " value="submit" type="submit">Submit</button></div><input type="hidden" name="form_id" value="10afe985-1ee7-4288-9422-fed7e2f9354e"/><input type="hidden" name="form_access_id" value=""/><input type="hidden" name="__mauuid" value=""/></form>