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GEAR UP Parent Advocate Group - Interest Form
Interested in becoming a Parent Advocate? Please fill out this form and we will contact you soon!
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Email
*
Your email
Your Name
*
Your answer
Cell Phone Number
Your answer
Home Phone Number
Your answer
What do you hope to gain from being involved the GEAR UP Parent Advocate Group?
Your answer
Are you interested in possibly becoming a Lead Parent Advocate? (Lead Parent Advocates receive a stipend of up to $200 for helping organize and lead Parent Advocate groups at each school)
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Yes
No
Maybe
Please list the names of any children in your household who are enrolled in GEAR UP
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Your answer
What schools do your GEAR UP students attend?
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Your answer
Send me a copy of my responses.
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