CharacterPlus St. Louis SELf Registration
Sign in to Google to save your progress. Learn more
Email *
Participant's Name *
Participant's Email Address *
Role *
School *
District *
Phone Number (we will only use this to contact you in case of emergency) *
Name and email of person to invoice for the SELf Registration Fee ($600) *
You are applying for the Spring Session.  Dates are January 24, February 23, March 30 and April 25th.  These are full day sessions (8:30-3:30).  Share any comments below.
Why do you want to be a part of the SELf Leadership Academy?
Thank you for your interest in being a member of CharacterPlus' SELf (Social-Emotional Leadership Foundations) Academy.  We look forward to connecting and collaborating next Semester.  If you have any questions or comments, please indicate below.
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of characterplus.org. Report Abuse