K-2 IMPACT Facilitator Training
Please complete the information below as part of the K-2 IMPACT Partnership Group application.
First Name *
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Last Name *
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Street Address (Home) *
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City *
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State *
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Zip Code *
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Phone Number *
(This will only be used to contact you regarding a session cancelation or to confirm participation) We do not share phone numbers.
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District *
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School *
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Grade Level/Position *
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Preferred Email *
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Please indicate the name and email of each person who will be on your facilitation team. You can have up to three members.
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Where will your site be located? (Please indicate district(s) or ESCs involved.
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By applying we understand that we are committing to the following: *
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Payment for the IMPACT Facilitator Training will be made by *
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