Confirm information for primary contact
 
 
 
First Name*
 
 
Last Name*
 
 
Email*
 
 
 
 
 
Confirm information for secondary contact (if applicable)
 
 
 
Secondary Contact 1 First Name
 
 
Secondary Contact 1 Last Name
 
 
Secondary Contact 1 Email
 
 
 
 
 
Confirm information for additional secondary contact (if applicable)
 
 
 
Secondary Contact 2 First Name
 
 
Secondary Contact 2 Last Name
 
 
Secondary Contact 2 Email
 
 
 
 
Select two preferences for the kick-off meeting within the next week. Once selected, we will send you a calendar invite.
 
 
 
Please indicate your first date and time preference for the kick-off meeting in CST.*
 
 
 
 
 
Please indicate your second date and time preference for the kick-off meeting in CST.*
 
 
 
 
Pre-Evaluation Date. Enter the date that you intend to distribute the first pre-evaluation survey.*
 
 
 
 
 
Post-Evaluation Date. Enter the date that you intend to distribute the next post-evaluation survey.*
 
 
 
 
 
How often do you require a local needs assessment? i.e. annually*
 
 
 
 
 
What would you like us to know or consider prior to the kick-off meeting?
 
 
 
 
Enter your custom questions for each sub-group here.
 
 
 
Student questions*
 
 
Parent questions*
 
 
Educator questions*
 
 
Business/Community questions*