Registration Form—Virtual Gifted Community Groups

Thank you for your interest in our community groups! Please complete as many questions as you feel comfortable answering so we can best support your participation. To learn more about the groups, please see the SENG website here.

To learn more about facilitators for these groups you can check us out at the websites below:

Emmaly Perks, M.Ed., CCRP, Gifted Consultant
www.beyondgiftedservices.com

Erin Krellwitz, PhD, Gifted Coach
https://mossandmaplecoaching.com

Thank you!
Emmaly and Erin
Sign in to Google to save your progress. Learn more
First Name *
Last Name
Pronouns (Optional)
(e.g., she/her, he/his, they/them, etc.)
E-mail *
For which session(s) are you enrolling? *
Required
What are the most important topics or issues you'd like to discuss in our group?
Do you require any accommodations to participate successfully in this virtual group?
Anything else you'd like us to know?
How did you hear about us? *
Required
If you selected "other," please specify where you heard about us:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report