Communities In Schools of the Permian Basin
School District Partnership Proposal Form
Date
*
-
Month
-
Day
Year
Date
Name
*
Organization or Agency
*
Title
*
Email
*
example@example.com
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
What school district are you interested in bringing Communities In Schools of the Permian Basin to?
Approximately how many Title-I eligible schools are in your school district?
Are you a community member, school employee, or a school leader?
School District Leader
School Campus Leader
School Employee
Community Member
Other
Notes Regarding Interest in School District/CISPB Partnership:
Should we include anyone else in our contact whenever we reach out to you? If so please list their information below.
How did you learn about Communities In Schools of the Permian Basin?
Web Search
Communities In Schools National
Texas Education Agency
Previously Partnered with a CIS affiliate
CISPB Staff Member
Referral
Word of Mouth
Email
Social Media
Other
Save
Submit
Should be Empty: