MindPlus YourSchool - Let's Get Started!

MindPlus YourSchool

We are looking forward to working in partnership with you to support your gifted and neurodivergent learners. To get us underway, we'd appreciate you providing us with the information below.
Your name:

First NameLast Name
Your email:
example@example.com
Your contact phone number:

Country CodeArea CodePhone Number
Your school or cluster name:
Your role:
What stage of partnership will you be starting at?

Stage 1 - full weekly online sessions with ongoing coachingStage 2 - no weekly online sessions, termly coaching only
When is your intended start date?

DayMonthYear
Date
Your MindPlus Partner Teacher will be:

First NameLast Name
Their email address:
example@example.com
Logistics

The information below gives us what we need to get started. Closer to your start date we'll send another form closer to your start date requesting the names of your students and a few details about them.

For Stage 1 partnerships: What is your FIRST preference for your weekly online session? We will get in touch to confirm - some negotiation may be needed! As of Jan 2025, our best availability for online session is: Mondays 9.15-10.30am, Wednesdays 9.15am, Thursdays 9.15am, Fridays 11am onwards

	Monday	Tuesday	Wednesday	Thursday	Friday
9.15 - 9.45am
10.00 - 10.30am
11.00 - 11.30am
11.45 - 12.15pm
12.30 - 1.00pm
1.30 - 2.00pm

For Stage 1 partnerships: What is your FIRST preference for your weekly online session? We will get in touch to confirm - some negotiation may be needed!

Mondays 12.15Mondays 1.30Wednesdays 9.15Wednesdays 11.00Wednesdays 11.45Wednesdays 12.15Thursdays 9.15Thursdays 11.00Thursdays 12.15
For Stage 1 partnerships: What is your SECOND preference for your weekly online session? We will get in touch to confirm - some negotiation may be needed!

Mondays 12.15Mondays 1.30Wednesdays 9.15Wednesdays 11.00Wednesdays 11.45Wednesdays 12.15Thursdays 9.15Thursdays 11.00Thursdays 12.15

For Stage 1 partnerships: What is your SECOND preference for your weekly online session? As of Jan 2025, our best availability for online session is: Mondays 9.15-10.30am, Wednesdays 9.15am, Thursdays 9.15am, Fridays 11am onwards.

	Monday	Tuesday	Wednesday	Thursday	Friday
9.15 - 9.45am
10.00 - 10.30am
11.00 - 11.30am
11.45 - 12.15pm
12.30 - 1.00pm
1.30 - 2.00pm

Who shall we send the MindPlus YourSchool contract and invoice to?

To meSomeone else in the school or cluster - please add their details below
Person to receive contract & invoices

First NameLast Name
Email address
example@example.com
Role
Organisation
About you

So that we can better understand your school or cluster, and your hopes for this partnership, tell us more about you!
Tell us a bit about your school, your students and your community (size, location, socio-economic, ethnicity, student interests etc)
Why do you want to become a MindPlus YourSchool Partner?
What does your school or cluster hope to achieve for your gifted and neurodivergent students?
For Stage 2 Partnerships, tell us a little about your school or cluster's experience in providing specialist support for your gifted and neurodivergent learners:
How will your school cover the half-day per week teacher time required for MindPlus?

From within our current staffingWe will need to employ an additional teacher resource
How will your school fund both the MindPlus YourSchool programme fee and any additional resource?
This information helps support us in finding philanthropic and government funding to keep MindPlus YourSchool affordable.
I understand information I have provided on this application will be stored on the Neurodiversity in Education database and will be used to keep me in touch with information and news relating to gifted education in New Zealand. Please note there will be opportunities to opt out of receiving information at a later date.*

Yes
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