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Request Materials
We've been making dreams a reality since 1855. And now, more than ever, we need your help sharing Berea's mission with students.
Required fields are denoted with an asterisk (*).
All requests are subject to approval.
Basic Information
First Name *
Preferred Name
Last Name *
Title/Position *
School Name *
Are you a Berea Alum? *
Are you a Berea Alum? *
Yes
No
Contact Information
School Mailing Address *
School Mailing Address *
Country
Street
City
Region
Postal Code
Email Address *
Cell Phone
May we use your cell number to send occasional text messages?
May we use your cell number to send occasional text messages?
Yes
No
Office Phone (If Different)
Preferred Contact *
Preferred Contact *
Cell Phone
Office Phone
Email
Additional Information
What grade(s) are your students in? *
Do your students have any specific interests? (extracurricular activities, academic programs, etc.)
Would you also like to request general information or materials in Spanish?
Would you also like to request general information or materials in Spanish?
Yes
How did you hear about Berea?
Submit
