Intake form

Name *

Email address *

What is your role?

Which educational programs are you interested in?

Please select at least one option.

Language Arts

Mathematics

Science

Social Studies

Art

Physical Education

Technology

Special Education

What is your preferred method of contact?

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Email

Phone

In-Person

Video Call

What is your primary area of interest in education?

Please select at least one option.

Curriculum Development

Student Engagement

Assessment Strategies

Professional Development

Educational Technology

Inclusive Education

How did you hear about us?

Additional questions or comments

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