Home Materials National Kit & Workbook Order Form National Kit & Workbook Order Form Step 1 of 3 – WORKBOOK ORDER 33% Too Good for Drugs Kindergarten 2020 Edition Kit Quantity Price: $275.95 Quantity A4050Too Good for Drugs Kindergarten 2020 Edition Student Workbooks, Pack of 30 Quantity Price: $44.95 Quantity A4035Too Good for Drugs Kindergarten 2020 Edition SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A4080Too Good for Drugs Grade 1 2020 Edition Kit Quantity Price: $295.95 Quantity A4105Too Good for Drugs Grade 1 2020 Edition Student Workbooks, Pack of 30 Quantity Price: $44.95 Quantity A4135Too Good for Drugs Grade 1 2020 Edition SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A4180Too Good for Drugs Grade 2 2019 Edition Kit Quantity Price: $325.95 Quantity A4205Too Good for Drugs Grade 2 2019 Edition Student Workbooks, Pack of 30 Quantity Price: $44.95 Quantity A4235Too Good for Drugs Grade 2 2019 Edition SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A4280Too Good for Drugs Grade 3 Revised Edition Kit Quantity Price: $325.95 Quantity A3300 Too Good for Drugs Grade 3 Revised Edition Student Workbooks, Pack of 30 Quantity Price: $44.95 Quantity A4335Too Good for Drugs Grade 3 SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A4380Too Good for Drugs Grade 3 Otto Matic Poster Quantity Price: $9.95 Quantity A3315Too Good for Drugs Grade 4 2020 Edition Kit Quantity Price: $305.95 Quantity A3400 Too Good for Drugs Grade 4 2020 Edition Student Workbooks Pack of 30 Quantity Price: $54.95 Quantity A3430Too Good for Drugs Grade 4 2020 Edition SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A3480Too Good for Drugs Grade 5 2019 Edition Kit Quantity Price: $305.95 Quantity A3500Too Good for Drugs Grade 5 2019 Edition Student Workbooks, Pack of 30 Quantity Price: $54.95 Quantity A3530Too Good for Drugs Grade 5 SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A3580Too Good for Drugs Grade 6 2019 Edition Kit Quantity Price: $305.95 Quantity A3600Too Good for Drugs Grade 6 2019 Edition Student Workbooks, Pack of 30 Quantity Price: $54.95 Quantity A3630Too Good for Drugs Grade 6 SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A3680Too Good for Drugs Grade 7 2019 Edition Kit Quantity Price: $305.95 Quantity A3700 Too Good for Drugs Grade 7 2019 Edition Student Workbooks, Pack of 30 Quantity Price: $54.95 Quantity A3730Too Good for Drugs Grade 7 SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A3780Too Good for Drugs Grade 8 2019 Edition Kit Quantity Price: $305.95 Quantity A3800Too Good for Drugs Grade 8 2019 Edition Student Workbooks, Pack of 30 Quantity Price: $54.95 Quantity A3830Too Good for Drugs Grade 8 SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity A3880 Too Good for Drugs High School – 2021 Edition Kit Quantity Price: $455.95 Quantity HS3950Too Good for Drugs High School – 2021 Edition Student Workbooks, Pack of 30 Quantity Price: $54.95 Quantity HS3955Too Good for Drugs High School 2021 Edition SPANISH Student Workbooks, Pack of 5 Quantity Price: $14.95 Quantity HS3970Too Good for Drugs & Violence High School – 2021 Edition Kit Quantity Price: $675.95 Quantity HS4150Too Good for Drugs and Violence High School – 2021 Edition Student Workbooks, Pack of 30 Quantity Price: $54.95 Quantity HS4160Total $0.00 INSTRUCTOR & AGENCY INFORMATIONWHAT MONTH DO YOU EXPECT TO START TEACHING THE L.E.A.D. CLASSES THIS SCHOOL YEAR?*9/2310/2311/2312/231/242/243/244/245/246/24WHAT MONTH DO YOU EXPECT TO FINISH TEACHING THE L.E.A.D. CLASSES THIS SCHOOL YEAR?*9/2310/2311/2312/231/242/243/244/245/246/24PRIMARY L.E.A.D. INSTRUCTOR or EDUCATOR (including rank/title)* LAW ENFORCEMENT AGENCY or SCHOOL DISTRICT* CHIEF OF LAW ENFORCEMENT AGENCY or SUPERINTENDENT OF SCHOOLS* AGENCY or DISTRICT ADDRESS Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code County DEPARTMENT/AGENCY PHONE*FAX*MOBILE*EMAIL* HiddenAverage annual salary, including benefits (required for statistical/in-kind services for non-profit report)* Average annual salary, including benefits (needed for statistical/in-kind services for non-profit report)*What Percentage of your Time is Spent Actively Delivering the L.E.A.D. Program For Your Agency/School District (Include Curricula Delivery & Events, Initiatives, Etc.)* HiddenAGENCY TYPE* County Educator Federal Police Private School Prosecutor School District Sheriff State Other AGENCY TYPE* County Educator Federal Police Private School Prosecutor School District Sheriff State Other LIST ADDITIONAL L.E.A.D. OFFICERS/INSTRUCTORS ACTIVELY DELIVERING THE L.E.A.D. PROGRAM FOR YOUR AGENCY/SCHOOL DISTRICT AND THE PERCENTAGE OF THEIR TIME DEDICATED TO L.E.A.D. ACTIVITIES, WHICH INCLUDE CURRICULA DELIVERY & EVENTS, INITIATIVES, ETC.ADDITIONAL PERSON 1 RANK/TITLE ADDITIONAL PERSON 1 NAME ADDITIONAL PERSON 1 % TIME ADDITIONAL PERSON 2 RANK/TITLE ADDITIONAL PERSON 2 NAME ADDITIONAL PERSON 2 % TIME ADDITIONAL PERSON 3 RANK/TITLE ADDITIONAL PERSON 3 NAME ADDITIONAL PERSON 3 % TIME ADDITIONAL PERSON 4 RANK/TITLE ADDITIONAL PERSON 4 NAME ADDITIONAL PERSON 4 % TIME ADDITIONAL PERSON 5 RANK/TITLE ADDITIONAL PERSON 5 NAME ADDITIONAL PERSON 5 % TIME TARGET POPULATION INFORMATION REGARDING YOUR TOWN/CITY Street Address Address Line 2 City State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code NAME OF LEADER OF SCHOOL DISTRICT, INCLUDING TITLE* STUDENT DEMOGRAPHICS% American Indian or Alaskan Native* % Hispanic or Latino* % Asian* % White or Caucasian* % Black or African American* % Unspecified* GEOGRAPHIC DESIGNATION* RURAL SUBURBAN URBAN % MALE* % FEMALE* LIST PARTICIPATING SCHOOLS IN WHICH YOUR AGENCY IMPLEMENTS L.E.A.D.SCHOOL NAME #1* PRINCIPAL #1* SCHOOL TYPE #1*TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #1* # CLASSES #1* # STUDENTS #1* SCHOOL NAME #2 PRINCIPAL #2 SCHOOL TYPE #2TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #2 # CLASSES #2 # STUDENTS #2 SCHOOL NAME #3 PRINCIPAL #3 SCHOOL TYPE #3TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #3 # CLASSES #3 # STUDENTS #3 SCHOOL NAME #4 PRINCIPAL #4 SCHOOL TYPE #4TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #4 # CLASSES #4 # STUDENTS #4 SCHOOL NAME #5 PRINCIPAL #5 SCHOOL TYPE #5TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #5 # CLASSES #5 # STUDENTS #5 SCHOOL NAME #6 PRINCIPAL #6 SCHOOL TYPE #6TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #6 # CLASSES #6 # STUDENTS #6 SCHOOL NAME #7 PRINCIPAL #7 SCHOOL TYPE #7TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #7 # CLASSES #7 # STUDENTS #7 SCHOOL NAME #8 PRINCIPAL #8 SCHOOL TYPE #8TYPE OF SCHOOLREGIONALPUBLICPRIVATEGRADE TEACHING #8 # CLASSES #8 # STUDENTS #8 If you teach L.E.A.D. at more than eight schools, please contact us at 609-259-2500Shipping Price: $0.00 Total $0.00 ORDER WILL BE PLACED ONCE PAYMENT IS RECEIVED.Payment Method (To select your payment method, put your cursor on "Credit Card" and select one from the drop-down menu)*Credit CardInvoice AgencyUse Allocated CreditsCredit CardCard Details Cardholder Name Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Agency* Authorizing Personnel* Rank/TitleFirst Name* First NameLast Name* Last NameEmail* E-mail addressNameThis field is for validation purposes and should be left unchanged.
