Back-to-School 2025 Professional Learning Experience Inquiry Form

1

Please verify that you are human* This field is required.

2

What is your first and last name?* This field is required.You will be the contact for booking your professional learning experience for now. You will be able to change this later if needed.

Example: Megan Cox

3

What is your email address?* This field is required.

Example: megan@uncomplicateed.com

4

What is the name of your school?* This field is required.If multiple schools, please indicate as appropriate.

5

Which grade levels does your school serve?* This field is required.

Examples: VPK-5, K-5, K-8, K-12, 6-8, 6-12, 9-12, etc.

6

In which region(s) is (are) your school(s) located?On the next screen, you will select your region(s).

7

In which region(s) is (are) your school(s) located?* This field is required.Choose the region(s) where your school(s) is (are) located.

Pandhandle

Crown

West Central

East Central

South

8

Audience: Subjects* This field is required.

Examples: K-2 ELA and Math, 3-5 Math/Science or ELA/Social Studies, 6-8 Math, 9-12 ELA, etc.

9

What topic(s) are you leaning towards for your back-to-school learning experience from Uncomplicate Ed?* This field is required.Select up to two topics. Your selection(s) will guide our professional learning proposal and virtual consultation.

Our Products: Math Roadmaps and/or Reading Roadmaps

Standards-Based: Standards and Curriculum Alignment

Culture-Focused: Management and Engagement

The Science of...Learning, Reading, or Math

10

Are you ready to book?* This field is required.Indicate what you are considering for now. We will reach out to you and support you through the next steps.

Yes, I am ready to book now, so that I can hopefully get my preferred date(s)! Let's chat so I can get an estimate and send you a Purchase Order.

Yes, I am planning to book, but I am not ready yet. Can you contact me so I can get what I need?

Maybe, I am considering it. Can you follow back up with me in a couple weeks?

Unsure, I need more time/information. Can you reach out to me with more information?

11

Are you interested in ongoing professional development opportunities for the 2026-2027 academic year?* This field is required.

12

Date #1: What would be your ideal date for your back-to-school learning experience?* This field is required.This date is your top preference. Disclaimer: The date will be confirmed via email when the cost estimate is sent for acceptance. This is a survey for planning purposes. Don't have a date yet or want more information? Make your best guess for now.

13

Date #2: What is your second-choice date for your back-to-school learning experience?* This field is required.This date is your second choice. Disclaimer: The date will be confirmed via email when the cost estimate is sent for acceptance. This is a survey for planning purposes. Don't have a date yet or want more information? Make your best guess for now.

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Date #3: Do you have a third-choice date for your back-to-school learning experience?This date is your third choice. Disclaimer: The date will be confirmed via email when the cost estimate is sent for acceptance. This is a survey for planning purposes. Don't have a date yet or want more information? Make your best guess for now.

15

What schedule are you leaning towards for your full-day experience? On the next page, you will indicate your desired schedule. This will guide our professional learning proposal and virtual consultation.

16

Choose Your Desired Schedule* This field is required.Choose up to 2 options. This will guide our professional learning proposal and virtual consultation.

17

Indicate Your Readiness Level* This field is required.Choose one

18

Is there anything else you would like us to know for this learning experience?Optional: Speak your thoughts.

19

Is there anything else you would like us to know for this learning experience?Optional: Type your thoughts.