Potential Client Form
Thank you for your interest in Lakretz Creative Support Services! Please fill out the form below. After you submit it, we will send you a link to schedule a Zoom meeting to discuss.
Name
*
First Name
Last Name
Email
*
example@example.com
District Name
*
Job Title
*
How Did You Hear About Us?
*
What Are You Looking For Support Around?
*
Inclusion
Co-Teaching
Differentiated Instruction
Other
Which Type of Teams Are You Looking to Train?
*
ICT
ENL
Other
Which Schools?
*
Elementary
Middle School
High School
Have the Teachers Been Trained Before?
*
Most Have
Some Have
None Have
Please Give Details About Past Training Here
Are Your Administrators Prepared to Learn Along With Your Teachers?
*
Please Include Any Other Details You Feel Are Important For Us to Know Before Our Zoom Meeting
Submit
ADMIN: Status
Submitted Form
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