American Dreamer Performance, Commentary, and Study Guide Request Form Your name *Your email address *Your phone number *Type of Group (i.e. community group, family, class, book club, individual) *Number of People Viewing the Video and Using Accompanying Material *Age Range of People Viewing the Video and Using Accompanying Material *City, State, and Country *Please rank your individual or group’s familiarity with Henry A. Wallace on a scale from 1-10, with 1 being none to 10 being very high. *Please let us know what you desire to get out of the materials (i.e. this is a part of lesson plan, personal interest, a supplement to reading) *Date when you plan to view the program. * Submit
