Registration: Implementation Science Training for North Country Teams
Registration for team members to attend the November 28 & 29, 2018 training at the Town & Country Motor Inn, Gorham, NH. Eligible participants: SAUs 3, 7, 20, 35, 36, 58, 68, 77 & 84, and as space allows SAUs 9 & 23. Additionally, as space allows, teams from children/family-serving agencies in the region overlapping these North Country SAUs (as part of a school/district team or a single organization team or a multi-agency team).
Name, title, school/district/organization, email for EACH member of the team (list them all in this box). If you don't have names yet, indicate anticipated number of team members here for now.
Your answer
Who is the lead contact for the team?
Your answer
Type of team?
What program, project, curriculum, initiative, etc. will be the focus of your work? This can be large-scale like becoming a trauma-sensitive school or something specific like implementing a SEL curriculum. Your specificity here will help the facilitator customize the training accordingly.
Your answer
Which best describes the status of this "implementation"?
What level(s) will/does this "implementation" serve?
Submit
Never submit passwords through Google Forms.
This form was created inside of ncedservices.org. Report Abuse - Terms of Service