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#LifeGoals Lab Registration
1.
Your Info:
Full Name
Nickname
Email Address
Phone Number (text only)
Name of School
State
Current Grade
2.
Have you ever participated in an Inspiring Minds program?
No
Not Sure
Yes! (Please share the programs/events you've participated in the space below):
3.
What are you interested in exploring in the #LifeGoals Lab? (check as many as you want!)
Goal Setting
Adjusting to Change
Time Management
Grief/Sadness/Depression
Worry/Anxiety
How to get/stay Motivated
Friendships/ Social Life
Family
Academics/ School Work
Ways to stay calm and focused
Physical Health
Creativity/ Art/ Special Hobbies
Planning for the future
4.
What technology do you have access to? (check all that apply)
I can get online/ i have internet access
I can video chat (via Zoom)
I have a phone
I can print stuff if I need to
I have email
I don't have any of these.
5.
Be honest- Can you commit to meeting with your#Lifegoals Lab via Zoom for 30 minutes a week, for 6 weeks?
Yes! I'll be there!
Yes... but I might need reminders.
No... that's too much for me right now.
6.
The #LifeGoals Labs meets on Tuesday afternoons. There are two sections- one at 3pm and one at 4pm. Can you participate at one of these times?
Yes, both times work for me!
I CANNOT participate at 3pm
I CANNOT participate at 4pm
If we open another section, what time would work BEST for you?
7.
How do you identify? (Choose All that Apply)
Male
Female
Non-binary
Cis-Gender
Gender Fluid
Transgender
Not Sure/ Don't Know
None of these
8.
If you join us, we will need to contact your parent or guardian to let them know about your participation in the #Lifegoals Lab.
Parent/Legal Guardian Full Name
Phone Number
Email
Current Progress,
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