Teacher Leader Onboarding Form
We're so glad you're interested in becoming a Teacher Leader for GEMS Girls Inc! Please fill out the information below to start the process, and we will be in touch with you within 2 business days with next steps. 
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First Name *
Last Name *
Email *
Mailing Address (Including City, State, ZIP) *
Phone number
Birthday (month and day) *
MM
/
DD
School or Organization Name *
Are you a certified teacher? *
If you are/were a certified teacher, please list the state(s) in which you were certified.
If you have never been certified, please list the organization or role where you work with kids.
What is your goal number for student enrollment in your club? *
What resonated with you most about GEMS that made you want to become a Teacher Leader? *
Anything else you want to share with us?
Where did you hear about us? *
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