Skokie Cares SEED Training Interest Form
Would you like to hear about future opportunities to join a Skokie Cares SEED cohort? Please complete this form and someone will be in touch. 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)
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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
Additional Comments
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