Empowering Educators Cohort Interest
This form is to collect information about those R4 school staff, CBOs, Community Colleges and partners that are interested in being apart of the 2017-2018 Empowering Educators Cohort!
Email address *
What is your name? *
Your answer
What email do you want us to contact you at? *
Your answer
Best phone contact? *
Your answer
What R4 school or affiliated organization do you work for? *
Your answer
What is your role in the R4 Consortium? *
Required
What level of participation are interested in? *
Required
If you are interested in the Empowering Educators cohort, tell us why you are interested? *
Required
How committed are you to joining the Empowering Educators Cohort? *
Required
Is there anything you'd like to us to know about you? *
Your answer
Why do you work with youth? *
Your answer
What questions do you have?
Your answer
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