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