Employer/Business Survey
This form is for individuals or businesses who have a physical location such as an office, restaurant, rental house, or other property available for a pop-up school or Learning Pod and/or are interested in learning more about offsetting costs for COVID-related school closure backup care.

Filling out this form in no way binds you to any agreement, or signs you up for anything. This is only to gauge interest, and for you to get customized information on how to use your space in a safe, legal, ethical, and ultra-beneficial way. You can opt out at any time, and there is zero obligation.

When you submit your information, you're agreeing to be contacted by a representative of Stronger Together to follow up with next steps in the connection process.

When you submit your personal information, it will never be used to spam you, and we'll never transfer the information to anyone else. It is for Stronger Together planning purposes only.

Stronger Together does not create, endorse, certify, or vet Learning Pods, and we don't directly handle placement (though we are building our list of resources and services all the time.)

If you don't want to fill out this form, but want to stay in the loop, scroll to the Subscribe section on the main site and enter your email address there. We'll send you updates, and you can get involved when you're ready.
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Email *
Full Name *
Business Name (if applicable) *
Contact Number *
Do you own or lease the space?
Clear selection
What is the available square footage?
Approximately how many people can safely use the space (keep in mind social distancing measures.)
What amenities are available?
Do you have an established program for alternative learning options?
Clear selection
If yes, please describe it.
I am most interested in serving my...
I am interested in... (check all that apply)
Is the space insured, up to code, and habitable?
Clear selection
If no, please explain.
If you have or are developing an alternative care model in your facility, what are you doing to address equity and inclusion?
Are you open to consultation with Stronger Together ATX on ways to be more equitable and inclusive?
Clear selection
Submit
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