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* 1. School District

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* 2. School Name

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* 4. Please select the name of the program you will be providing to parents this Fall.
Note: If you are planning to offer multiple programs this semester, please fill out a survey for each program. 

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* 5. Enter the date you plan to START your workshops. 
Note: If you are still unsure of the exact date, please indicate the week or month you hope to start.

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* 6. How many parents are you planning to invite?
Pro Tip: Invite twice as many people as you'd like to have in your workshops. For example, invite 40 if you'd like to have 20 parents attend.)

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* 7. Please indicate the names of the facilitators who will be helping lead your workshops this Fall.

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* 8. Projected Graduation Date

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* 9. Additional Notes/Comments for your Team Support Specialist

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