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
Please complete the captcha before submitting the form.
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