ANTE UP! Private Group Registration Application
Welcome! Congratulations on choosing yourself. This form will assist you in registering for your ANTE UP! courses and certification process. For any questions contact Bianca@BiancaLaureano.com.
Group / Organization *
Your answer
Lead Contact First & Last Name *
Your answer
Lead Contact Email Address *
Your answer
How many participants does your group propose per course *
Required
What are the demographics of the group? *
Please be specific: race, age, gender, sexual orientation, documentation status, etc.
Your answer
How many courses are you requesting? *
Your answer
Select the course(s) you are requesting a private group session for: *
Select all that apply
Required
What dates and times are you requesting for the course? *
Courses are four weeks in length and meet once a week for three hours. Additional hours may be added for private groups for a fee. Please offer at least two options for date and time of requested course(s). Because these are intensives, it is a requirement to attend all sessions for a passing assessment. We consider participant needs on a case by case basis. We value honesty and direct communication.
Your answer
Where will the courses take place? Do you want Bianca to join in person or virtually? *
If you request time with Bianca that is in person please budget for travel, per diem at the federal rate, and lodging.
Your answer
Please select the option(s) that most resembles your group: *
Select all that apply.
What type of support, if any, may your group need for an optimal learning experiences? *
Here is where you may share your groups accessibility needs (i.e. transcripts from class, subtitles to films, translation support, etc.). If none, please write "None" for your response.
Your answer
Has your group read and are they willing to agree to all of the core Community Agreements? *
The core Community Agreements are listed on the ANTE UP! website. We will have time in each course to collectively add to these agreements..
Select all that your group members are comfortable performing for collective support during the course: *
Select all that apply
Required
Select the courses you are most interested in us offering for this request and / or in the future: *
choose top 4
Required
How did you learn about ANTE UP!? *
Your answer
Are you Puerto Rican organization / or a student group at the University of Puerto Rico? *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy