Affiliate Program

First Name*	Last Name*	Street Address*
Address Line 2	City*	State*
Zip*	Email*	Website*
Estimated Reach (How many people are you connected with? (Please indicate average monthly website visitors, number of Facebook or other social channel fans/followers, email list size, etc.)*
Additional comments or considerations
Desired Relationship (check all that apply)*Free products to reviewPaid post sponsorshipPaid commission on product salesOther

First Name*	Last Name*
Email*	Phone Number*
I am looking for a position that is *remotein personhybrid (blend of remote and in person)I am open to whatever position is available.
I am looking for *Full TimePart TimeI am open to whatever position is available.
City*	State*
Zip Code*	Are you willing to relocate? *YesNo
Attach Resume.*
Additional comments or anything else you would like to share.

First Name*	Last Name*
Email*	Phone Number
Role*Administrator DistrictAdministrator SchoolTeacher PreschoolTeacher K-2Teacher 3-5Teacher 6-8Teacher 9-12Teacher GiftedHomeschool ParentParent/Guardian
State*	Zip Code*
I need support for*Classroom TO GOField TripAfterschool ClassesSummer CampSchool PartnershipCollege CoursesProfessional DevelopmentCustom KitsSTEM EventsSTEM Events	Reason for supporthelp with a project or activitydamaged product or return itempayments and billingtechnical problemsshippingplacing an orderrequest a quote
Additional Information. (Is there anything else that you would like to share about your request? Are there any specific questions you would like to ask?)

First Name*	Last Name*
Email*	Phone Number
School/ District or Organization*	Job Title
State*	Zip Code*
Role*Administrator DistrictAdministrator SchoolTeacher PreschoolTeacher K-2Teacher 3-5Teacher 6-8Teacher 9-12Teacher GiftedHomeschool ParentParent/GuardianOther
I need kits for students in the following grade level(s):*PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradePre-Service Teachers (Post Secondary)Adult Learners
Additional Information (optional)
Thank you! We are looking forward to connecting with you soon!