CDF Freedom Schools® Information Form for EDs, PDs, SCs

Your Information

Salutation

First Name

Last Name

Suffix

Email Address

This must be unique to you. For example: jdoe@abc.com is acceptable, but projectdirector@abc.com is not. Do not provide a generic email that is used by more than 1 person. Always remember to check your junk/spam folders.

Mobile Phone

This must be a number where you can receive text messages as it relates to training.

Work Phone

Gender

Preferred Pronoun

Birthdate

Your Mailing Address

Street Address

City

State

Zip Code

Your Race/Ethnicity - Check all that apply (optional)

Freedom Schools Information

Notes about staff roles: The person who is primarily responsible for the CDF Freedom Schools (CDFFS) program in your organization and will be the primary point of contact, is deemed the CDFFS Executive Director (ED). Only one person may serve in the role.

The information below asks for years of service directly related to the CDF Freedom Schools program, NOT to your organization in general.

Sponsor Organization

State & Sponsor Organization Name

Begin typing the name of your state postal abbreviation or sponsor name to filter results. If you do not know your sponsor name, contact your ED or PD before continuing.

Sponsor

Site Name (if known)

Program Type

I will serve in the following role:

Number of years in this specific role

Year will be verified against system data and used to determine your training requirement.

You will receive emails related to CDF Freedom Schools, would you also like to opt-in to general email communications from CDF?

YesNo