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Pandemic Teacher Support Group
Event Timing: Wednesdays at 4pm, September 9th – October 28th, 2020
Event Address: Google Meet
Contact us at (347) 560-4628 or
https://pleasantvillepsychologygroup.com/contact/
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* Indicates required question
Full Name
*
Your answer
Email Address
*
Your answer
Phone Number (best time of day to reach you)
*
Your answer
Age
*
Your answer
Job Title
*
Your answer
School District
*
Your answer
What grade level do you teach?
*
Preschool
K-2
3-4
5-8
Highschool
Required
What best describes your current work situation?
*
Hybrid Model
Teaching at school
Teaching remotely
Pod teaching
Other
Regardless of your school's re-entry status, will you be electing to teach in person?
*
Yes
No
Undecided
Please describe your childcare situation at home if applicable.
Your answer
What do you hope to get out of the group?
Your answer
Do you have any specific concerns you would like us to know?
Your answer
Thank you for your inquiry. Dr. Micera will be in touch with you to confirm and finalize enrollment.
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