Enter Drawing to Win a Prize!

CONGRATULATIONS! Because you contributed responses to one of our online questionnaires, you are eligible to win a free gift! A random drawing will be held in late May to determine the winners. We will be drawing for about 10 $25 gift cards per sponsored project. Good luck!

Instructions. To enter, please provide your contact information below. Your privacy is protected and your personal information will not be shared with third-parties or the public.

1. Name:

(firstname lastname)

This is a required question

2. School/District Affiliation:

Example: Encantado Elementary, Encanta, NM

This is a required question

3. Delivery Method:

If I win, please deliver my gift via...

Email (preferred, includes online purchase code)
Home Delivery (address below must be included)

This is a required question

4. Address (required for home delivery):

Street/PO number, unit

This is a required question

5. Location:

City, State, Zip

This is a required question

6. Email:

This is a required question

7. Telephone (optional):

###-###-#####

This is a required question

8. Human -vs- Robot Question:

Most fast-food joints sell a round sandwich called a... (hint: not a hotdog)

Must contain burger

This is a required question

Prizes provided by the ALD4ALL Project (NMPED BMEB), the Española Public Schools, the Center for the Education and Study of Diverse Populations (CESDP), and the Center for Positive Practices.

Odds of winning are about one in 20. To protect your privacy, your information will not be shared with third parties or the public, however, your name as a winner may be used in promotional materials and to verify prize distribution.

This form is created, designed, and developed by CPP and powered by Google Forms.