CMS Partner/Volunteer Interest Form

CMS Partner/Volunteer Interest Form

Which describes your current status with Charlotte-Mecklenburg Schools?*

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Organization Name*

Authorized Representative and Position*

Contact Email Address*

Contact Phone Number*

Please select your areas of focus. Select all that apply.*

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Please describe the primary nature of your program or service?*

Is there a participation cost for your program or service?*

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Is your program in-person or virtual? Select all that apply.*

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Does your program or services require use of a CMS facility?

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If yes, please list all schools and contacts.

Please indicate what virtual platforms you will be using.

Is your program or service the recipient of any grant funding?

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Please describe funding requirements including CMS data, staff support, etc.).*

Does your program or service require staff resources (staff, funding, etc.)? If yes, please explain.*

Operating hours*

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Please indicate your primary audience? Select all that apply.*

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What schools/work locations will receive your services? Select all that apply.*

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Please select all schools you would like to support.

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Who is your district-level contact person (if applicable)?

Engagement Staff

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