Expression of Interest & Feedback
Thank you for being interested in this course; I couldn't have imagined all 20 spots would fill up within 24 hours, it is so humbling, encouraging, and exciting. I hope to transform this interest into a way of enabling others to do similar initiatives, and if you fill out this form that will help me gauge interest in this future potential.
* Required
Email address
*
Your email
What is your full name?
*
Your answer
Where are you located?
*
Your answer
What days/times of the week would you be interested and available to take the course? Check all that might apply.
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9 AM EST - 12 noon EST
12 noon EST - 3PM EST
3PM EST - 6PM EST
6PM EST - 9PM EST
Not on This Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9 AM EST - 12 noon EST
12 noon EST - 3PM EST
3PM EST - 6PM EST
6PM EST - 9PM EST
Not on This Day
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Would you be interested in taking this later in the year?
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For example, over the summer starting in June, or in the Fall in September or October
Yes
No
Maybe
Other:
Any other comments, questions, feedback, ideas you want to share?
Your answer
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