Project EmpowerED! Discovery Form
Thanks for reaching out! I value your privacy. This form is used for consultation purposes only and to help me serve you better.
What service(s) or program(s) are you interested in?
Coaching (for educators, school staff, school parents or student leaders)
Workshops/Motivational Teaching (for educators, school staff, school parents or student leaders)
Youth Programs (leadership, financial literacy)
Name of School, College, University or Institution
Contact Phone Number
My preferred initial contact is via email, but just in case I need to contact you by phone, what day are you most available?
What is the best time to reach you?
Please give me some few words to describe your goals or the result you are hoping to achieve.
How did you hear about Cherry Reyes & Solutions?
I was a participant
I was a client
We're off to a great start!
Thank you for taking the time to complete the form to help me learn a little bit more about your needs. Expect to hear from me soon via email. Please check your junk folder just in case my email doesn't reach your Inbox.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service