School Partnership & Professional Development Interest Form

Section 1: Contact Information

School/District Name

Contact Person (Name & Title)

Email *

Phone

Best Way to Contact You (checkbox: email, phone)

Section 2: Professional Development Offerings

(Check all you are interested in)

Workshops for Educators

Training for Administrators

Mental Health Awareness Programs for Staff

Continuing Education Credits (if applicable)

Section 3: Student-Focused Programming

(Check all you are interested in)

In-Classroom Presentations

Small Group Sessions

Assembly Programming

Wellness Curriculum Development

Section 4: Parent & Caregiver Resources

(Check all you are interested in)

Workshops/Webinars for Parents

Communication Tools/Guides for Home

Family Engagement Events

Section 5: Videos & Digital Resources

(Check all you are interested in)

Short Informational Videos for Parents

Educational Videos for Teachers

Student-Focused Videos/Modules

Section 6: Support & Consultation Services

(Check all you are interested in)

On-Site Consultation with Staff

Ongoing Coaching/Check-Ins

Support in a brief group setting for staff (stress management, resilience, coping strategies)

Section 7: Additional Needs/Requests

Write down any specific needs, topics, or custom programming you're looking for

Section 8: Next Steps

Preferred Timeline

Immediate

Within 3 months

Next school year

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