Learning Community Leader Application
Please complete the form below to apply to become a Learning Community Leader. Applicants are required to be the parent or grandparent of at least one student who is participating in a Learning Community. Applications are accepted until Friday, August 4, 2017. Upon completion of this application, you will be contacted to schedule an interview. Acceptance is based on both the application and the interview. Learning Communities are a service of Family Forum LLC.
Applicant's First Name
Please enter your first name.
Your answer
Applicant's Last Name
Please enter your last name.
Your answer
Applicant's Phone Number
Please enter your phone number.
Your answer
Applicant's Email Address
Please enter the student's email address.
Your answer
Applicant's Physical Mailing Address
Please enter your physical mailing address.
Your answer
Will You be an Individual Leader or a Leader Couple?
Select one
Spouse's First Name
If applying to be a "Leader Couple," enter your spouse's first name: (If not, type "NA")
Your answer
Spouse's Last Name
If applying to be a "Leader Couple," enter your spouse's last name. (If not, type "NA")
Your answer
Spouse's Email Address
If applying to be a "Leader Couple," enter your spouse's email address. (If not, type "NA")
Your answer
Level You Wish to Lead
Please select the Learning Community level that you wish to lead.
Name of your child or grandchild who is a Learning Community Member or Applicant
Please enter your child's or grandchild's name below: (Leaders are required to be the parent or grandparent of a Learning Community member.
Your answer
Time Zone
Please select the time zone in which you reside:
Essay: Why do you want to be a Learning Community Leader?
Please write 100–150 words.
Your answer
Information Release for Learning Community Directory (Optional)
I understand and agree to the following optional agreement:
Required
Leader Responsibilities
I understand and agree to the following responsibilities (check all boxes)
Required
Leader Compensation
I understand that if I am accepted as a Leader, I will receive the following compensation:
Required
Privacy Policy
Please read and agree to our privacy policy. Please indicate your agreement by checking the box below.
Required
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