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Institute of Agriculture and Natural Resources
Nebraska Extension in Dodge County
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Nebraska Extension
Nebraska Extension in Dodge County
School Enrichment Registration
School Enrichment Registration
Register for a School Enrichment Program by completing and submitting this web form.
Teacher Name
Required
E-mail Address
Required
School
Required
Grade
Required
Phone Number
Required
Best Time To Call
Required
List School Enrichment programs you are requesting and the month you prefer (only 3 per teacher)
Required
LIST OF NUMBER OF STUDENTS IN EACH CATEGORY
Total number of students
Numberof Hispanic students
GENDER - Male
GENDER - Female
ETHNICITY - White
ETHNICITY - Black
ETHNICITY - American Indian/Alaska Native
ETHNICITY - Asian
ETHNICITY - Hawaiian/Pacific Islander
RESIDENCE - Farm
RESIDENCE - Town/Rural
RESIDENCE - City
Leave this field blank