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GARE Minnesota 2018 Racial Equity Learning Year Application
Please respond to these questions to register for the GARE MN 2018 Racial Equity Learning Year.
OK
1.
Who is completing this application?
First Name
Last Name
Title
Jurisdiction
2.
What GARE MN cohort will your jurisdiction participate in? (check all that apply)
Introductory Cohort
Implementation Cohort
3.
Our Introductory cohort team will be comprised of...
....6-10 participants
....11-14 participants
....15-17 participants
Other (please specify)
4.
Our implementation cohort team will be comprised of...
....6-10 participants
....11-14 participants
....15-17 participants
Other (please specify)
5.
Our Introductory Cohort team represents...
....our entire jurisdiction
....a department(s)
Which department(s) will participate?
6.
Our Implementation Team represents...
....our entire jurisdiction
....a department(s)
Which department(s) will participate?
7.
Our Jurisdiction is a GARE member
Yes
No
We have applied for GARE Membership
What date did you apply for GARE membership?
8.
Our jurisdiction is interested in GARE membership
Yes
Not at this time
Please send me GARE membership information
9.
Who will receive and approve the 2018 MN Cohort invoice?
First name
Last name
Title
email address
Phone
Street Address
Address 1
Address 2
City
Zip
Current Progress,
0 of 9 answered