College Educational Toolkit Order Form

School Information

School Name - please use full school name

Student Organization or Group Conducting Program

Who can we thank for referring you? (Name of school or organization and person)

Primary Contact Information - this will be the main person conducting the program.

This will be your main contact and the person with primary access the UDS Member Portal. A Microsoft account is recommended for the best experience. If you do not have one, you can create a Microsoft account using the email you provide.

Primary Contact Name

Primary Contact Role

Primary Contact Email

Please provide the email address you would like to use to access the UDS Member Portal. A Microsoft account is recommended for the best experience.

Primary Contact Phone

Primary Contact Cell Phone

Secondary Contact Information - this will be the secondary team contact

Anyone added in this section will be given access to the UDS Member Portal.

Secondary Contact Name

Secondary Contact Role

Secondary Contact Email

Please provide the email address you would like to use to access the UDS Member Portal. A Microsoft account is recommended for the best experience.

Secondary Contact Cell Phone

Secondary Contact Phone

Social Media - please complete if you would like us to tag your team on school posts regarding your activities or students

Your team's Facebook handle:

Your team's Instagram handle:

Your team's Twitter handle:

School Shipping Information

Shipping Address

School City

State

Zip Code

Date Needed - if known; no asap