Civics Matters AZ - Intent to participate FORM

Please fill out the short form below with your intent to participate in the Civics Matters Arizona program.

School Name(Required)

District Name(Required)

Lead Administrator Name(Required)

Sponsoring Teacher Name(Required)

Sponsoring Teacher Email(Required)

Why do you think your school and students will benefit from this experience?(Required)

What grade level(s) do you plan to include (please select current grade level of students)?(Required)

8th grade

9th grade

10th grade

11th grade

Cohort size:(Required)

5 students

10 students

Please note: All schools will be asked to keep a waitlist of 2-3 students.

Additional Comments

Civics Matters Arizona - Intent to participate