Consulting Assessment
Contact Name *
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Organization *
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Are you interested in consulting for the whole organization/school or a specific program/s *
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Ages Served *
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Number of Youth *
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Address of program site *
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Very basic mission of your org/school/program, i.e. "we are a comprehensive charter school" "we are a literacy focused after school program" *
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What do you dream of your program becoming? *
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What services are you interested in *
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Any other details about your program you want to share? *
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