Empowered Educator Application

Nice job—you’re giving yourself the gift of rejuvenation and resilience this summer!

Name

First Name

Last Name

School or organization

Role(s) at your school

Indicate if your role will change for 24-25.

School Address

You've got mail! 📬A few weeks before the start date, we will mail or deliver your Empowered Educator course guidebook to your school. If you'd rather recieve this at home, just put your home address below.

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you available for all 3 sessions as of now?

Tuesdays from 9:30a to 12:30p — June 18, June 25, July 2

Yes!

I'm not sure

Why do you want to join the Empowered Educator?

Share a bit about what attracted you to this experience and what you hope to take away from it.

Funding approval

The investment for The Empowered Educator program is $800, but it’s my goal that you never have to pay on your own for it! Most teachers have success requesting PD funding for the program, and I have resources to help you ask.

My school leader has approved payment for this program.

My school leader knows I'm enrolling but has NOT YET approved payment for this program.

My school leader doesn't know I'm enrolling but I plan to ask for funding ASAP!

My school leader doesn't know I'm enrolling and I am paying some other way.

Other/I don't know

Do you have any questions for me?

Ask away!