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TEACH Columbia Gorge Grow Your Own Interest Form (Fall 2024)

Thank you for your interest in the GYO program!

Please complete the information below and then schedule a brief introduction call with the GYO Program Coordinator (link to schedule at end of form).

If you are unsure on the response to a question, that is more than okay, just answer based on what you do know. The GYO Program Coordinator can coach you through the application- just send an email, call or text.

If you would prefer to complete these questions via phone with the GYO Program Coordinator, please email mschorr@cgesd.k12.or.us to set-up a brief phone/zoom call.

All information shared will be viewed by the GYO review committee only and not shared elsewhere without your written consent.

Please reach out with any questions!
mschorr@cgesd.k12.or.us OR 541.993.7935
Background Info & Demographics
1.First name
2.Last name
3.Pronouns
4.Email address
5.Confirm email address
6.Phone number
7.Address
8.What is your age?
9.Select one or more boxes that reflect how you racially and/or ethnically self-identify.
10.If applicable, what is your Tribal affiliation?
11.What is your language of origin
12.What languages do you speak and what is your fluency?
13.What language do you prefer to communicate in?
14.How do you describe your sexual orientation (i.e. gay, lesbian, bisexual, heterosexual, etc.)
15.How do you describe your gender identity (i.e. woman, man, non-binary, etc.)?
16.Do you have any dependents?
17.What county do you live in?
18.How long have you been an Oregon resident?
19.What is your zipcode?
20.What is the highest level of education you have completed?
21.Please list degree(s), licensure(s), and/or endorsement(s) you have completed below
22.Are you and/or would you be a first generation college student (A first-generation college student is a student whose parents did not complete a four-year degree)?
23.Please mark which option below best describes where you are currently:
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