Skokie Cares 2019-2020 SEED Application
Would you like to join a Skokie Cares SEED seminar? Please complete this form no later than July 15, 2019 and someone will follow up with you by August 15, 2019 about cohorts starting this fall. Priority will be given to people who live or work in Skokie, or have a student who will be a Skokie school during the upcoming school year.

Note that you will not be able to save your application partway through and return to it. Please contact info@SkokieCares.org if you have questions about this form or SEED.
First Name *
Your answer
Last Name *
Your answer
Email address *
Your answer
Phone number *
Please use this format ###-###-####
Your answer
Home address *
Street address, city, zip code
Your answer
Community Organization/Employer *
If you are affiliated with or work for an organization located in Skokie, or have a child who attends a Skokie school, please indicate the organization here.
Your answer
Current Role(s) (e.g., teacher, employee, parent, community member, Village commissioner)
Your answer
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