Evolution of a Synergetic Educator Consultation Groups - September 2024: Dual Focus Cohort
The information you provide in this form will support us in assigning you to a group that most closely fits your needs! 

Please complete and submit your form by NO LATER THAN OCTOBER 1, 2024, to ensure your preferences are considered.
Sign in to Google to save your progress. Learn more
Name *
Email Address *
Where are you located in the world?

Please give me a sense of your relationship with schools

In your answer, you can include the following or anything you feel is important.

·       Primary role and/or responsibilities

·       Primary population (elementary students, or specific grade, MS educators, etc)

·       Do you work within or outside the school system. If outside the system in what capacity (consultation, training, work with individual students/clients, etc)?

*
Please mark ALL of the following that apply for you. 
*
Required
Please indicate your preferences for group dates and times. It is likely that not all of these options will be offered, so please Mark ALL that would work for you, and please indicate AT LEAST TWO options, as we are accommodating several time zones.
All times are in MST (Denver, CO). You may use this TIME CONVERTER TOOL for support.

*
Required

Are you interested in registering for credit?

*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Synergetic Education Institute. Report Abuse