1. What is your First Name *This question is required.

2. What is your last name? *This question is required.

3. What is your title? *This question is required.

4. What is your email address? *This question is required. This question requires a valid email address.

What is your phone number?

6. What is your preferred method of communication? *This question is required.

7. What is the name of your school? *This question is required.

8. What is the name of your school district? *This question is required.

9. Tell us a little more about your school

*This question is required.

10. Briefly describe the procurement process for edtech tools at your district.

11. Form an Education Technology Pilot Team...

Besides yourself, add up to 5 other administrators, support staff, or teachers who are involved in the decision making process for edtech tools.

*This question is required.

12. How did you hear about the Pilot Research Program? *This question is required.