Equity Leader Lab Registration - Equal Opportunity Schools

Equity Leader Lab Virtual Cohort*
Submitter's Name*
First Last
Submitter's Title/Role*
Submitter's Email*
Submitter's Phone*
District Name*
District Address*
Street Address City State / Province / Region ZIP / Postal Code
District and School Contacts*
Click on the + symbol to expand the form to register each individuals. For the purpose of the Equity Leader Lab, each equity team should consist of both district and school staff. *Superintendent/Assistant Superintendent *Principal *Assistant Principal (at least 1 and up to 3) *Counselor *AP Teacher (at least 1 and up to 3) *School Equity Champion *District Lead (at least 1 and up to 3) "Equity Leader Lab Role Descriptions"
First Name Last Name Role/Title District Office/School Name Email
Questions or Comments
Name
This field is for validation purposes and should be left unchanged.

First Name	Last Name	Role/Title	District Office/School Name	Email