Parents in Schools Program-(parent application)
Filling out this form is not a guarantee of placement in the program. We have a limited number of spots and we reserve the right to place depending upon fulfillment of program criteria and availability. 
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Email *
Name (First and Last) *
Email *
Phone number *
I am a parent in 

 *
Required
Names of my children in school *
Home Address *
Emergency Contact Name *
Emergency Contact phone number *
Which of these statements are applicable to you? 
You can select all if all of them are true in your case.
 *
Required
My level of Education *
What is your native (home) language? *
If I can help in the classroom/school, I would love to help with *
Required
Have you ever participated in the Parent Mentor Program in the past? *
Required
I would like to be placed in (you cannot be placed in your child's classroom) *
Required
I'd like the opportunity to experience *
I can volunteer in the classroom for *
I can volunteer in the classroom on 

 *
Required
I can volunteer in the classroom  *
I can attend  *
I will need childcare if I participate in the program *
I will need transportation if I participate in the program *
Please check the box below *
Required
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