SIGN UP: Community Schools Ambassador Program Fall 2016
Write your name, contact information, the name of your school, and why you and your school would like to participate in the program. Light breakfast and lunch will be served. Childcare provided.

West & Southwest Philly: October 29th
Northeast Philly: December 10th, Northeast Regional Library 10.30am to 3pm
North & Northwest: December 17th, Edward T. Steel School, 4301 Wayne Ave, Philadelphia, PA 19140, 10am to 3pm
South Philly: January 28, Aquinas Center 1719 Morris Street, Philadelphia, PA 19145, 10am to 3pm
All City: February 25th

Locations to be determined.


If you have questions, please contact Shivaani Selvaraj (sas82@psu.edu) Amber Marie Felton (amber@mediamobilizing.org) and Evette Jones (ejones@pft.org).

First Name
Your answer
Last Name
Your answer
Phone Number
Your answer
E-mail Address
Your answer
Name of Your School and/or Neighborhood
Your answer
What role(s) do you currently serve in your school?
Parent, Student, School Staff, SAC member, Home and School Member, Volunteer etc.
Your answer
Are you signing up as an individual or together with other members of your school community?
Only one sign up per school is necessary.
Your answer
What are you most excited about regarding Community Schools?
Your answer
What questions do you have at this time about joining the Ambassador Program?
Your answer
How many children will you be bringing that need childcare and what are their ages?
Your answer
Will you or anyone in your group need interpretation? If so, what language?
Your answer
Submit
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