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Start a Program/Apply for a Grant
We’re glad you’re here! Please complete this form if you’d like to reach out for assistance in starting a program.
School
(Required)
Include city, if not part of name.
Level(s)
(Required)
Age group(s) in which you’re interested (middle level = grades 6-8; high school = grades 9-12).
Middle Level
High School
Activity(ies)
(Required)
Select which you are interested in.
Speech
Debate
Theatre
Film
Name
(Required)
Name of person completing this form
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Role(s)
(Required)
Role(s) of person completing this form
Classroom teacher
Activities/athletic administrator
School administrator
District administrator/superintendent
School board member
Parent
Student
Community member
Email
(Required)
Phone
Phone Availability
Best time(s) to call
Youth Protection
(Required)
As a youth protection measure, a student must have another responsible adult present during a consultation phone call
I agree to have an adult present during a phone call
Adult
(Required)
Because you indicated you are a student, we must copy an adult on our communications with you as a youth protection protocol
Dr.
Miss
Mr.
Mrs.
Ms.
Mx.
Prof.
Rev.
Prefix
First
Last
Adult Email
(Required)
Barriers/Challenges
(Required)
What barriers/challenges to participation do you have at your school? If unknown or none, please write that.
Comments/Questions
Please let us know whatever questions/comments you have.
Comments
This field is for validation purposes and should be left unchanged.