Date Full Name Street Address City, State and Zip Code Email Address OccupationPlease Select Your Occupation I am employed as a dance specialist in an elementary school I am employed as a dance specialist in a middle school I am employed as a dance specialist in a high school I am employed as a dance specialist in a university I am employed as a dance specialist in a private studio I am a pre-service dance educator at a university I am not employed as a dance specialist I am an arts educator I am a classroom teacher Occupation - Other I would like to have this product in Spanish if it were available.Select Yes or No Yes No I am bilingual and would like to help translate Toolkit 1 into Spanish at some point in the future.Select Yes or No Yes No I would like to have this product in a language other than Spanish or English if it were available.Select Yes or No Yes No I would like to order supplemental packets of Decoding Dance Works to go with Toolkit 1 if new sets of 45 became available.Select Yes or No Yes No I would want to order supplemental packets of Critiquing Cards to go with my Toolkit 1 if new sets of 45 became available.Select Yes or No Yes No I want to get an email when the next toolkit is available.Select Yes or No Yes No I own Teaching Dance as Art in Education.Select Yes or No Yes No Here is a suggestion for a new Decoding Dance Works card to add to a supplemental set: Here is a suggestion for a new Critiquing Strips card to add to a supplemental set: I have successfully used Toolkit 1 with grades 3-5.Select Yes or No Yes No I have successfully used Toolkit 1 with middle school students.Select Yes or No Yes No I have successfully used Toolkit 1 with high school students.Select Yes or No Yes No I have successfully used Toolkit 1 with college dance students.Select Yes or No Yes No I have successfully used Toolkit 1 with college general education students.Select Yes or No Yes No I have successfully used Toolkit 1 with adults.Select Yes or No Yes No I have successfully used Toolkit 1 with another group (please specify): 
