2021 SLS Registration

Summer Leadership Seminar

A half-day, virtual leadership seminar for K-12 school and district leaders. Through interactive presentations, workshops, and dialogue with peers, you will learn new strategies to improve student well-being and promote academic engagement in your school community. Registration will be open until May 28th, 2021. Space is limited. $275 per attendee; up to 5 attendees from your school or district.
Which date would you like to register for?

Thursday, June 10th, 2021 Tuesday, July 27th, 2021
How many individuals do you wish to register? *
Attendee 1: Name *

First Name Last Name
Attendee 1: Email *
example@example.com
Attendee 1: Role *
Attendee 1: Job Title
Attendee 2: Name

First Name Last Name
Attendee 2: Email
example@example.com
Attendee 2: Role
Attendee 2: Job Title
Attendee 3: Name

First Name Last Name
Attendee 3: Email
example@example.com
Attendee 3: Role
Attendee 3: Job Title
Attendee 4: Name

First Name Last Name
Attendee 4: Email
example@example.com
Attendee 4: Role
Attendee 4: Job Title
Attendee 5: Name

First Name Last Name
Attendee 5: Email
example@example.com
Attendee 5: Role
Attendee 5: Job Title
How did you hear about the Summer Leadership Seminar?

My current or previous school has worked with Challenge Success Peer school or colleague Challenge Success email or newsletter Challenge Success website Social media Direct mail NAIS Education Week Other conference or professional network
In what ways, if any, have you worked with Challenge Success in the past?

Administered Student or Parent Survey Hosted a Parent Education or Professional Development workshop Attended a Challenge Success conference N/A
TELL US ABOUT YOUR SCHOOL OR DISTRICT
School or District Name *
School or District Website *
School or District Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Number of Students
Number of Faculty
Number of Schools in your District
Grade Levels represented in your school or district *

Pre-K 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade
School type *

Public Charter Independent Independent - religiously affiliated
Percent of students receiving free or reduced price lunch
Percent of students receiving tuition assistance
What do you hope to learn or gain from participating in the one-day Summer Leadership Seminar?
Is there anything else you'd like to share about your school or district?
Email to receive a confirmation of your registration *
example@example.com
Choose a Payment Option: *

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Purchase Order

Please complete the information below to request a Purchase Order. A member of the Challenge Success team will be in touch shortly with information about your PO.
Purchase Order Amount
Name for Purchase Order

First Name Last Name
Email address for Purchase Order
example@example.com

Please verify that you are human *
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Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Summer Leadership Seminar

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