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<form accept-charset="utf-8" name="c41d356e-f07c-4b36-9d1c-3956ec73de84" class="maForm" method="POST" action="https://apps.net-results.com/data/public/IncomingForm/Ma/submit" ><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1494944504253_2034" id="ma-form-element-yui_3_18_1_1_1494944504253_2034Label" class="">Email Address<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1494944504253_2034" class="formText formEmail formRequired" value="" /></label></div><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_1496673028598_4237" id="ma-form-element-yui_3_18_1_1_1496673028598_4237Label" class="">School Name<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1496673028598_4237" class="formText formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1500560241542_4671" id="ma-form-element-yui_3_18_1_1_1500560241542_4671Label" class="">City<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1500560241542_4671" class="formText formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1500560241542_4920" id="ma-form-element-yui_3_18_1_1_1500560241542_4920Label" class="">State<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1500560241542_4920" class="formText formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1503678952305_5406" id="ma-form-element-yui_3_18_1_1_1503678952305_5406Label" class="">Phone Number<span class="formRequiredLabel">*</span><input type="text" name="ma-form-element-yui_3_18_1_1_1503678952305_5406" class="formText formRequired" value="" /></label></div><div class="maFormElement maFormFieldTypeStandardSelect"><label for="yui_3_18_1_1_1533933498988_8099" id="yui_3_18_1_1_1533933498988_8099Label" class="">Role<span class="formRequiredLabel">*</span><select name="yui_3_18_1_1_1533933498988_8099" class="formSelect formRequired"><option value="Administrator/Principal" >Administrator/Principal</option><option value="Head of School" >Head of School</option><option value="Science Supervisor" >Science Supervisor</option><option value="Other (please specify)" >Other (please specify)</option></select></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="ma-form-element-yui_3_18_1_1_1533933498988_9178" id="ma-form-element-yui_3_18_1_1_1533933498988_9178Label" class="">If Other, please specify<input type="text" name="ma-form-element-yui_3_18_1_1_1533933498988_9178" class="formText " value="" /></label></div><div class="maFormElement maFormFieldTypeStandardCheckbox"><label for="ma-form-element-yui_3_18_1_1_1503678952305_6701" id="ma-form-element-yui_3_18_1_1_1503678952305_6701Label" class="formCheckboxListLabel">What AP* subjects are offered at your School? <span class="formRequiredLabel">*</span><label class="formCheckboxLabel maFormSubscriptionInputLabel"><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Chemistry]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="AP* Chemistry" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Chemistry]">AP* Chemistry</label><label class="formCheckboxLabel maFormSubscriptionInputLabel"><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Biology]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="AP* Biology" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Biology]">AP* Biology</label><label class="formCheckboxLabel maFormSubscriptionInputLabel"><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Physics 1]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="AP* Physics 1" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Physics 1]">AP* Physics 1</label><label class="formCheckboxLabel maFormSubscriptionInputLabel"><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Environmental Science]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="AP* Environmental Science" name="ma-form-element-yui_3_18_1_1_1503678952305_6701[AP* Environmental Science]">AP* Environmental Science</label></label></div><div class="maFormElement maFormFieldTypeStandardCheckbox"><label for="ma-form-element-yui_3_18_1_1_1534250397674_9004" id="ma-form-element-yui_3_18_1_1_1534250397674_9004Label" class="formCheckboxListLabel">Please indicate what your current needs are that can further support your AP* science courses (check all that apply): <label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Supplemental resources for teachers and students]"><input class="formCheckbox formCheckboxList" type="checkbox" value="Supplemental resources for teachers and students" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Supplemental resources for teachers and students]">Supplemental resources for teachers and students</label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Blended learning options ]"><input class="formCheckbox formCheckboxList" type="checkbox" value="Blended learning options " name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Blended learning options ]">Blended learning options </label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Inquiry lab solutions aligned to the College Board Big Ideas and Learning Objectives ]"><input class="formCheckbox formCheckboxList" type="checkbox" value="Inquiry lab solutions aligned to the College Board Big Ideas and Learning Objectives " name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Inquiry lab solutions aligned to the College Board Big Ideas and Learning Objectives ]">Inquiry lab solutions aligned to the College Board Big Ideas and Learning Objectives </label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Ready-to-use lab kits aligned to the College Board Curriculum Framework]"><input class="formCheckbox formCheckboxList" type="checkbox" value="Ready-to-use lab kits aligned to the College Board Curriculum Framework" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Ready-to-use lab kits aligned to the College Board Curriculum Framework]">Ready-to-use lab kits aligned to the College Board Curriculum Framework</label><label class="formCheckboxLabel "><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Other (please explain)]"><input class="formCheckbox formCheckboxList" type="checkbox" value="Other (please explain)" name="ma-form-element-yui_3_18_1_1_1534250397674_9004[Other (please explain)]">Other (please explain)</label></label></div><div class="maFormElement maFormFieldTypeStandardText"><label for="yui_3_18_1_1_1534250397674_9942" id="yui_3_18_1_1_1534250397674_9942Label" class="">If Other, please explain<input type="text" name="yui_3_18_1_1_1534250397674_9942" class="formText " value="" /></label></div><div class="maFormElement maFormFieldTypeStandardRadio"><label for="ma-form-element-yui_3_18_1_1_1533933795785_8922" id="ma-form-element-yui_3_18_1_1_1533933795785_8922Label" class="formRadioListLabel">Do you currently use an application or tool that provides you with a detailed analysis of student, classroom and school performance in AP* subjects? <label class="formRadioLabel"><input id="ma-form-element-yui_3_18_1_1_1533933795785_8922-0" class="formRadio formRadioList" type="radio" value="Yes" name="ma-form-element-yui_3_18_1_1_1533933795785_8922"/>Yes</label><label class="formRadioLabel"><input id="ma-form-element-yui_3_18_1_1_1533933795785_8922-1" class="formRadio formRadioList" type="radio" value="No" name="ma-form-element-yui_3_18_1_1_1533933795785_8922"/>No</label></label></div><div class="maFormElement maFormFieldTypeStandardCheckbox"><label for="ma-form-element-yui_3_18_1_1_1503678952305_7856" id="ma-form-element-yui_3_18_1_1_1503678952305_7856Label" class="formCheckboxListLabel">Preferred method of communication<span class="formRequiredLabel">*</span><label class="formCheckboxLabel maFormSubscriptionInputLabel"><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1503678952305_7856[Phone]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Phone" name="ma-form-element-yui_3_18_1_1_1503678952305_7856[Phone]">Phone</label><label class="formCheckboxLabel maFormSubscriptionInputLabel"><input type="hidden" value="" name="ma-form-element-yui_3_18_1_1_1503678952305_7856[Email]"><input class="formCheckbox formCheckboxList formRequired" type="checkbox" value="Email" name="ma-form-element-yui_3_18_1_1_1503678952305_7856[Email]">Email</label></label></div><div class="maFormElement maFormFieldTypeStandardSelect"><label for="ma-form-element-yui_3_18_1_1_1503679507170_6142" id="ma-form-element-yui_3_18_1_1_1503679507170_6142Label" class="">Best time of day to contact<span class="formRequiredLabel">*</span><select name="ma-form-element-yui_3_18_1_1_1503679507170_6142" class="formSelect formRequired"><option value="8:00am" >8:00am</option><option value="8:30am" >8:30am</option><option value="9:00am" >9:00am</option><option value="9:30am" >9:30am</option><option value="10:00am" >10:00am</option><option value="10:30am" >10:30am</option><option value="11:00am" >11:00am</option><option value="11:30am" >11:30am</option><option value="12:00pm" >12:00pm</option><option value="12:30pm" >12:30pm</option><option value="1:00pm" >1:00pm</option><option value="1:30pm" >1:30pm</option><option value="2:00pm" >2:00pm</option><option value="2:30pm" >2:30pm</option><option value="3:00pm" >3:00pm</option><option value="3:30pm" >3:30pm</option><option value="4:00pm" >4:00pm</option><option value="4:30pm" >4:30pm</option><option value="5:00pm" >5:00pm</option></select></label></div><div class="maFormElement maFormFieldTypeStandardSelect"><label for="yui_3_18_1_1_1533933498988_7361" id="yui_3_18_1_1_1533933498988_7361Label" class="">Time Zone<span class="formRequiredLabel">*</span><select name="yui_3_18_1_1_1533933498988_7361" class="formSelect formRequired"><option value="Eastern Time Zone" >Eastern Time Zone</option><option value="Central Time Zone" >Central Time Zone</option><option value="Mountain Time Zone" >Mountain Time Zone</option><option value="Pacific Time Zone" >Pacific Time Zone</option></select></label></div><div class="g-recaptcha" data-callback="captchaCallback" data-size="normal" data-theme="light" data-sitekey="6LeDVx0TAAAAAJt8KCDNreoaxARPNhvqg-4WPcOz"></div><div class="maFormElement maFormFieldTypeStandardSubmitButton"><button name="ma-form-element-yui_3_18_1_1_1495812165572_4199" class="formSubmit " value="submit" type="submit">Submit</button></div><input type="hidden" name="form_id" value="c41d356e-f07c-4b36-9d1c-3956ec73de84"/><input type="hidden" name="form_access_id" value=""/><input type="hidden" name="__mauuid" value=""/></form><script src="//www.google.com/recaptcha/api.js" async defer type="text/javascript"></script>