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2021 Brotherhood Interest Form
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* Indicates required question
Name
*
Your answer
Street Address
*
Your answer
Phone number
Your answer
Email Address
*
Your answer
What school do you attend or work for?
Your answer
Is this an elementary, middle, or high school?
High School
Option 2
Elementary
Other:
Clear selection
How did you hear about The Brotherhood?
A student in my school
A friend from another school.
My Principal/Teacher/Coach
My parents
The Internet
The news media
Facebook/Twitter
Clear selection
Are you ...
the Principal
a Teacher
School Support Staff Personnel
a Parent
a Student
someone interested in learning more about our program
Other:
Clear selection
If you are the principal, check all that apply:
This sounds great, I'm interested in starting a Brotherhood chapter here at my school asap.
I'm not sure yet, but I would like to schedule a meeting with Director Weathers ASAP to discuss starting a chapter.
I'm just curious and would like more information.
Can you call me ASAP, I have some questions I'd like to ask before moving ahead.
If you are a student, teacher, or school support personnel, have you spoken with your principal or school leader about starting a Brotherhood chapter in your school?
Yes
No
Other:
Clear selection
Thank you for your interest in The Brotherhood (from Boys to Men). You will be hearing from Director Weathers very soon. Please share any additional comments you may have at this time?
Your answer
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