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CARES D.A.D.S interest form
1.
Name
2.
Phone
3.
Email
4.
Home address
5.
Are you a parent?
Yes
No
Other (please specify)
6.
How would you rate your comfort interacting with high school students?
Very comfortable
Mostly comfortable
I have some discomfort interacting with high school students
I have trouble communicating with high school students
Other (please specify)
7.
To participate in this, you need to be available any day of the week, 11:00 am - 1 pm or 2:30 - 3:30 pm.
Yes
No
Current Progress,
0 of 7 answered