Join The Alaska Panel for Teens and Get Paid for your Opinions.

We conduct paid online surveys and in-person focus group discussions in nearly every community in Alaska throughout the year. Fill out the survey below, and when a paid research opportunity comes up that you are qualified for, we will give you a call.

Teen's Name

First Name

Last Name

Teen's phone number

If applicable

(###)

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Teen's gender

Teen's year of birth

Teen's race/ethnicity

You can choose more than one.

African American

Alaska Native/American Indian

Asian

Hispanic

Native Hawaiian/Pacific Islander

White

Other

What city do you live in?

Parent's name

Because you are a minor, we will need your parents consent in order for you to participate.

First Name

Last Name

Parent's phone number

(###)

###

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Referred by:

If you were referred by someone put their name here

First Name

Last Name

Phone number of the person you were referred by:

(###)

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