Who is the contact person for scheduling this LEADer interaction? *
Your answer
What is the e-mail address for the contact person? *
Your answer
Are you affiliated with a school district or organization? If so, which one? *
Your answer
In order to schedule your group with one of our LEADers, we need to know which area of disability your group would like to learn more about. Please specify below. *
Required
Which day(s) of the week are best for your group? *
Required
What time of day is best for your group? *
Your answer
How many people will be joining us for the virtual interaction? *
Your answer
What is the average age of your group? *
Your answer
Is there a virtual platform that you prefer (Zoom, Google Meet, WebEx)? If so, please specify and we will do our best to accommodate your request. *