First Name

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* 1. First Name

Last Name

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* 2. Last Name

Local Union

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* 3. Local Union

District

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* 4. District

Email Address

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* 5. Email Address

Phone Number

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* 6. Phone Number

By selecting "I agree," I am confirming that I have discussed this project with both the president of my local union and the administration in my district; they have agreed to support, participate in, and agree to all professional development, collaboration, or goals that are worked on by the Education Minnesota Foundation.

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* 7. By selecting "I agree," I am confirming that I have discussed this project with both the president of my local union and the administration in my district; they have agreed to support, participate in, and agree to all professional development, collaboration, or goals that are worked on by the Education Minnesota Foundation.

This collaboration project proposal falls under which category?

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* 8. This collaboration project proposal falls under which category?

Briefly describe your project proposal:

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* 9. Briefly describe your project proposal:

An Education Minnesota staff member will be in touch via phone or email to discuss your proposal more thoroughly. Please indicate which mode of communication you prefer:

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* 10. An Education Minnesota staff member will be in touch via phone or email to discuss your proposal more thoroughly. Please indicate which mode of communication you prefer:

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