Request services and cost estimate

Request eMINTS services and cost estimate

Process

Complete and submit the online request form below.
eMINTS will send a written summary of your request and an estimate within five business days.
For more information, contact the eMINTS National Center at emints-info@emints.org or (573) 884-7202.

Note: Requests for estimates from Missouri participants received after Noon on Friday, March 27, 2009, will not be processed.

Request form

Please complete the form below and press Submit button. You will receive both a confirmation webpage and an e-mail copy of the information submitted in your request form for your records.

* Indicates required fields

Request for eMINTS services and cost estimate
* District/organization
* Contact person's name
* Title/role in organization
* Contact's e-mail address
* Contact's phone (include area code)
* Street address
* City
* State
* Zip
* Briefly describe your envisioned eMINTS implementation? In the best of all worlds, what would you like to achieve in partnership with the eMINTS National Center?
* How many participants do you plan in each program?		- Teachers in comprehensive PD - Teachers in eMINTS4All - Participants in PD4ETS
* What are your proposed funding source(s)?
* How do you propose to deliver professional development? See options A and B below.
Option A - Do you currently have a certified eMINTS instructional specialist employed by your organization? Please provide specialist's name and dates of eMINTS training
Option B - If eMINTS National Center staff deliver the professional development, what are your needs and expectations?
Other questions or specific requests?
* Please type your initials to indicate you have completed and reviewed all required fields

Reviewed January 27, 2009.