Husker Performance Registration Form

Thank you for your interest in Husker Performance Curriculum. Please answer the following questions as thoroughly as possible. Once we receive your form we will contact you and provide you with the curriculum and further assistance.

If possible, do you prefer to have a University of Nebraska Extension professional assist with teaching the curriculum? *
What date do you prefer to begin teaching the curriculum? *
Please provide a secondary option if the first date is not available. *
Will other individuals (teachers, administration, paras, student teachers, volunteers, etc.) be involved with teaching the curriculum? *
Which of the following best describes your gender? *
Which of the following best describes your race/ethnicity? *