SLP 2020-21 Partner School Interest Form
Partner School Name *
Partner School Address *
Contact Person *
Contact Person Position
Contact Person Email *
Contact Person Phone
In which of the following SLP programs would your school like to participate? *
If you selected the Residency Program or the Service Club, how many groups/classes would you like to participate in SLP?
If you selected the Residency Program or Service Club, what grade level (s) would you like to participate?
If you selected the Residency Program or the Service Club, approximately how many students do you expect will participate in each group/class?
Do you have a preference of days of the week/time of day you would like SLP meetings to take place?
Do you have any questions about or need any additional information about partnering with SLP?
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