GCSA Charter Incubator Fellowship Referral Form

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If you know someone who would be a great fit for our program, please provide their information below. Refer as many top-tier candidates as you would like! If one of your referrals applies, is accepted and matriculates through 6 months of the program-- you will receive a $1,000 referral bonus! Learn more: www.gacharters.org/applyincubator

Referred by: Your First Name *

Referred by: Your Last Name *

Referred by: Your Email *

Referred by: Your Phone Number

Referred by: Your Preferred Social Media handle

Please indicate social platform and your personal handle. (ex: "Instagram: @schoolleader")

Referral: First Name *

Referral: Last Name *

Referred by: Email *

Referred by: Phone

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