ILC #8 Registration

Contact Info

This Interest Survey should be completed by a school leader once per school, regardless of how many participants are interested.

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* 1. What is your name?

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* 2. What is your email address?

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* 3. What school are you affiliated with?

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* 4. Are you a leader of the school?

Yes

No

I'm completing this survey by proxy on a leader's behalf.

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* 5. Who is the best person at your school to contact regarding ILC participation?

I am.

Someone else is. (List their name and email address)