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Express Interest in the Board of Kid Directors Program—September, 2023
Once you complete this Expression Of Interest form we will be in touch within 10 business days to schedule a call and find the right program for your Kid Director.
11
Questions
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1
Name of parent/gaurdian:
First Name
Last Name
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2
Name of your Kid Director:
First Name
Last Name
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3
E-mail Address:
example@example.com
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4
Phone Number:
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5
Date of Birth of your Kid Director:
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Date
Month
Day
Year
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6
Race and Ethnicity
We are going to create our Board to be inclusive and diverse—and therefore very, very wise. Which race or ethnicity best describes your Kid Director?
American Indian or Alaskan Native
Asian / Pacific Islander
Black or African American
Hispanic
White / Caucasian
Multiple ethnicity
Other
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7
Does your Kid Director have any special needs?
If yes could you please offer a brief description of the best ways for Big Brain Box to partner with your Kid Director around this need.
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8
What kind of Board of Kid Director program are you interested in?
Check all that apply.
Paid—I would like to pay
Free—I would like a sponsoring company to pay
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9
Paid Program
If you are interested in a program that is NOT sponsored by a toy company (and therefore requires you to pay) how much would you be willing to pay? 9 Week Leadership Program, 1 zoom session (aka board meeting) per week for 1.5 hours.
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10
Are you willing to sign a release?
Some of the program's content (video/artwork/photos etc.) will appear on public platforms. Would you give permission for your child's image, video, and/or their artwork etc to be on public platforms?
Yes
Some but not all platforms
No
Need to talk about it
Yes, with certain checks in place
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11
Time Zone
The Board of Kid Directors Program is virtual. What time zone will your Kid Director be joining us from?
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