UCS Interest Form

This form is for Michigan schools interested in becoming a Unified Champion School. This will help us get you in touch with your local Unified Champion Schools coordinator.

Your School Name *

Your Name *

Your email *

Phone number

Are you a... *

What region is your school located in? *

If you're unsure of which region your county falls in, check THIS regional map

How did you hear about Unified Champion Schools?

On a scale of 1-10, how familiar are you with UCS?

Would you like to be added to the UCS Newsletter? *

Today's Date *

mm/dd/yyyy

*

Send me a copy of my responses

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