*1.School District(Required.)

*2.School Name(Required.)

3.Team Coordinator

Name

Email Address

Phone Number

4.Semester

FALLSPRING

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

Parenting Partners

Family Meals Challenge

Calm & Kind Family

*6.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. If you are doing multiple programs, please indicate the start date of each program.(Required.)

*7.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.)(Required.)

*8.Please indicate the names of the facilitators who will be helping lead your workshops this semester.(Required.)

Facilitator 1

Facilitator 2

Facilitator 3

Facilitator 4

Facilitator 5

Facilitator 6

*9.Projected Graduation Date(Required.)

10.Additional Notes/Comments for your Team Support Specialist