TEAM Kids Interest Form
Note: This program is highly concentrated on schools that have gang related issues.
Name of School
*
School Address
*
School Principal's Name
*
School Principal's Phone
*
Principal's E-Mail Address
*
Contact Person's Name
*
Position
*
Contact Person's Phone
*
Contact Person's E-Mail Address
*
A confirmation email will be sent to this address.
Name of Teacher
*
Grade Level
*
Teacher's Phone
*
Teacher's E-Mail Address
*
Dates Interested
*
Does your school have a zero tolerance policy?
Yes
No
Does your school have gang related issues?
Yes
No
Please describe your school's gang related issues.
SJPD 05212015
Submit
Should be Empty: