Commit to 1% Challenge Form
Complete this form as an action step to join our Commit to 1% Challenge that inspires educators, leaders, and schools to spend 10 minutes a day focused on skills for mental health and well-being. 

Optional $1,000 Grant Opportunity: 
There are optional fields below to nominate yourself to be entered into COSEM's grant opportunity. Please include a YouTube link to a video showing/explaining how your classroom or school is committing 1% for a chance to win a $1,000 grant to use on the mindfulness resource(s) of your choice. You can email the video to hello@educatingmindfully.org if you don't have it ready when you complete this form. 
  • The 2023 grant winner will be announced live during the virtual Educating Mindfully Conference (EMCON) on #SELday (March 10, 2023).  
Note: If you have completed your Mindfulness-Based SEL (MBSEL) Micro-Credential, you are automatically entered into the grant video submission. 

We will use the email collected with this form to contact you if you have won the $1,000 grant and we will add your email to our email list for our monthly newsletter and events. 

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Email *
Full Name *
School *
City *
State *
Or country if you live outside the US
Video Link
Optional. YouTube links only please. You can create an account for free, upload your video, and mark the video as unlisted if desired. Grant winners will be selected randomly. You can also email it to hello@educatingmindfully.org.

If students are featured in the video, please make sure to obtain permission for the video to be featured on our website, social media, and other publicity platforms. 
Video Description
Optional. If we choose your video to share in our newsletters or on social media, we will include some or all of the information entered here. If you do not want your video shared, please note that below. 
Featured Student-Led Practice
Optional. If you'd like your class to be considered for leading a short live practice segment via Zoom in the future, please let us know. 
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A copy of your responses will be emailed to the address you provided.
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