Co-Op Registration

Co-op Registration

1Co-Op Leader Info

2Co-Op Details

Co-Op ID
I am interested in using the College Prep Genius curriculum in my school or co-op classroom.*
- yes
- no
Do you have each student's name and contact information?*
You can continue, but you will need this information in order to finalize your co-op registration and order products.
- yes
- no
Co-Op Leader Info
As your co-op's facilitator, we will need information about you so we can properly register your co-op class.
Co-op Leader Name*
First Last
Email
Register Your Email*
Phone*

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Co-Op Details
Please provide the details for your co-op.
Co-op or School Name*
Co Op or School Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Start Date*

MM slash DD slash YYYY
End Date*

MM slash DD slash YYYY

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