Pandemic Teacher Support Group
Event Timing: Wednesdays at 4pm, September 9th – October 28th, 2020
Event Address: Google Meet
Contact us at (347) 560-4628 or
https://pleasantvillepsychologygroup.com/contact/
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Full Name *
Email Address *
Phone Number (best time of day to reach you) *
Age *
Job Title *
School District *
What grade level do you teach? *
Required
What best describes your current work situation? *
Regardless of your school's re-entry status, will you be electing to teach in person? *
Please describe your childcare situation at home if applicable.
What do you hope to get out of the group?
Do you have any specific concerns you would like us to know?
Thank you for your inquiry. Dr. Micera will be in touch with you to confirm and finalize enrollment.
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