Learning Lab Application

PPL Learning Lab Application

We're excited that you're interested in our program to support Black children ages prenatal to five. Complete the five sections below to apply to the 2026 PPL Learning Lab. We can't wait to hear from you.
1) Your Information
Full Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Street Address / City / ZIP Code

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Preferred Contact Method
2) About You
Which best describes you? (select up to 3)

Other
What is your connection to children prenatal to age five?
3) Interest in the PPL Learning Lab
Why are you interested in joining the Parents & Practitioners for Liberated Learning Lab?
In a few sentences, what drew you to this program?
What do you hope to learn, build, or strengthen through this experience?
What topics are you interested in exploring during the program? (select all that apply)

Other
4) Availability

We are determining the best meeting dates and times based on the majority of participants' availability. Please respond to the questions below and select all that apply.
Which weekday evenings are you generally available?
Which times are you generally available?

Other
The PPL Learning Lab will meet over a 6 month period of time to build relationships, knowledge, and momentum. Indicate which of the below meeting patterns could work best for you.
5) Village Support
What kinds of support would help you participate fully? We will provide refreshments at each session and will provide childcare if needed.

Other
If you selected any support needs, please share anything you would like us to know.
How did you hear about the PPL Learning Lab?

Other
Should be Empty:

PPL Learning Lab Application

1) Your Information

2) About You

3) Interest in the PPL Learning Lab

4) Availability

5) Village Support