Pathways Interest Form Question Title * 1. Organization Name OK Question Title * 2. Your Name OK Question Title * 3. Your e-mail address OK Question Title * 4. Best number to reach you OK Question Title * 5. What is the address of where the workshop will take place? OK Question Title * 6. Which workshop would you like to host? Early Childhood College Prep Both Workshops OK Question Title * 7. If you chose College Prep, how many workshops can you host? One Two Three Not applicable. I am not hosting a College Prep workshop. OK Question Title * 8. If you chose Early Childhood, how many workshops can you host? One Two Three Not applicable. I am not hosting an Early Childhood Workshop. OK Question Title * 9. If you are hosting an Early Childcare workshop, are you able to provide childcare? (This is not a requirement.) Yes No OK Question Title * 10. When would you be able to host the workshops? If you have specific dates, please include below. Otherwise, please include the month, and if possible, the week. OK Question Title * 11. When would you like your workshop? Saturday, 9am-1pm Weekday evening (6pm-10pm) Other (please specify) OK Question Title * 12. Our workshops are traditionally conducted in Spanish. Will you need your workshop to be in English? No, my workshop will be in Spanish. Yes, I would like my workshop to be in English. OK Question Title * 13. Would you be able to register at least 35 people to attend the workshops, promote workshops, and collect RSVPs? Yes No OK Question Title * 14. Please include information about how you will reach out and share the opportunity with parents. OK Question Title * 15. Please include any additional information that is important for us to know about your community or parents and children that would allow us to better serve them. OK Question Title * 16. Please list the type of space the workshop will be held in (i.e. classroom, gym, auditorium). OK Question Title * 17. Who will be the site contact? Include name and title. OK Question Title * 18. Please provide site contact email and phone number below. OK DONE