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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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This field is for validation purposes and should be left unchanged.
Name*
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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