It takes a village

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School or District Name

Main Contact Person (Full Name)

Title / Role

Grade Levels You Serve

Elementary

Middle School

High School

College

Other

What program(s) are you interested in bringing to your students?

LUV Logically Speaking for Students

LUV Logically Speaking for Teachers

Staff/Teacher Training

Student Assembly

What are your goals for this partnership?

What are the biggest challenges your students and/or staff currently facing?

Desired Launch Timeframe

YYYY

Site Visit or Meeting Preference

Anything else you'd like us to know?