Skokie Cares SEED Training Interest Form
Would you like to join a Skokie Cares SEED seminar? Please complete this form and someone will follow up with you about cohorts starting in September 2018. Priority will be given to people who live or work in Skokie. Please contact info@SkokieCares.org if you have questions about this form or SEED.
Email address *
First Name *
Your answer
Last Name *
Your answer
Community Organization/Employer
If you are affiliated with or work for a Skokie community organization or group, please indicate that here.
Your answer
Current Role (e.g., teacher, community member, Village commissioner)
Your answer
How do you identify yourself (i.e., gender, race, ethnicity, culture, etc.)
Your answer
Phone Number
xxx-xxx-xxxx
Your answer
Why do you want to participate in SEED?
Your answer
SEED seminars and schedule
There will be three SEED seminars all starting in September 2018, with ten sessions each: COHORT A will meet Mondays from 12-3 pm at the Skokie Public Library on 9/17, 10/15, 11/12, 12/17, 1/28, 2/11, 3/18, 4/8, 4/29, 5/13. COHORT B will meet first Wednesdays of each month in the evening at Skokie Park District's Tot Learning Center. COHORT C will meet on the first Thursday of the month (except 10/11 and 1/10) from 5-8 pm at Elizabeth Meyer School.
Please check all cohorts you are available to attend: *
Required
Which cohort is your first preference to attend? *
Additional Comments
Your answer
Thank you for your interest! You will receive notice about placement in a SEED cohort by the end of August.
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