Black Women Teach Discovery Survey 
This form is designed to ONLY gather information about you, the participantThe goal is to make sure Brooklyn WATE is clear on your expectations and needs and that we can communicate to our Featured Black Women Teach Instructors. Thank you so much for committing to the mission of Brooklyn WATE
Sign in to Google to save your progress. Learn more
First Name, Last Name  *
Email address 
What subjects would you be interested in learning? (check all that apply)
*
Required
How often would you want to participate in the BWT initiative?  *
As pandemic restrictions have been lifted, what type of BWT environment would you prefer? *
Knowing that all donations are tax deductible what is the maximum contribution you would make towards this program? 
*
How would you prefer to make your donation?  *
Do you have any questions, comments, or concerns? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brooklyn W.A.T.E.. Report Abuse