Teacher Interest Form

Thanks for your interest in the ChemQuiz.net Dashboard! Please complete the following form so I can help you set up a demo account, which will allow you full access for 30 days to try out all of the features.

A school-wide site license is available for US$70 per calendar year (12 months), which allows you to create an unlimited number of student accounts.

If you have a coupon code, please include that below. If your school's student population is 50% or greater "economically disadvantaged" (e.g., students on free/reduced lunch) and you want to apply for a free site license, please include a link to your school demographics in the 'Coupon Code' field.

STUDENTS: If you have a join code from your teacher or tutor, please use this form instead.

* Required form fields

Your Name *
Your Email Address *
School Name *
School Address *
School City *
School State/Province *
School Zip/Postal Code *
School Country *
Coupon Code/Demographic Link
(if applicable)
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