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Free Student Kit Request

Free Student Kit Request

Request form for the LIMITED supply of free student resource kits

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Name*
MM slash DD slash YYYY
At this time, free student resource kits are limited to schools located in the state of Maine and may only be requested by school faculty. By checking below, I attest that I am currently employed by a school located in the state of Maine.*
Mailing address for school*
Have you obtained permission from school administration to integrate these support resources into your school?*
If you answered NO to the question above, check the following box stating that you agree to obtain permission from school administration prior to the shipment of your kit.*

Optional questions:

Are you interested in learning more about Stay; For Life's student presentation opportunities?
If you're interested in any of these topics, please let us know by checking the appropriate box(es):
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