SY23-24 Relay National Programs Seat Request Form

SY23-24 Relay National Programs Seat Request Form

Thank you for your interest in partnering with Relay Professional Education! Please use this form to request seats for Relay's National Leadership Programs and to book Relay Teacher Professional Education workshops for SY23-24.

Please review the webpages for specific program and offerings details:

Leadership Programs
Teacher Professional Education
If you have questions, set up time to talk or email us (lahmed@relay.edu) and we can always adjust your selections after your submission

DEADLINE: May 1st, 2023*

*Seats are filled on a first-come-first-served basis (via signed MOU) and may fill up quickly; we reccomend submitting your request as early as possible.

For questions, please reach out to professionaleducation@relay.edu

I. General Information

Submitter name*

Submitter email address*

Partner Organization Name (please provide full name)*

This is the organization that is signing the MOU. Please select the exact name on your MOU and partner portal (if any).

Organization Type*

Select

Network Name*

Please enter your charter network name here.

District Name*

Please enter your district name here.

School Organization Affiliation*

For the leaders you are sponsoring, please list their school, district, or organization name(s):

Has your organization partnered with Relay National Leadership Programs in the past?*

Select

Last Engagement*

Select

II. Organization Mailing Address

Street address*

City*

State*

Select

Zip Code*

Time Zone*

Select

III. Contact Information

Please enter your organization's primary, MOU, billing, and data contact information in the fields below.

Primary Point of Contact (POC)

The primary point of contact will receive all communications throughout the program(s), including monthly program updates and participant attendance and assessment reports, and will be the first person Relay contacts with questions.

Primary POC First Name*

Primary POC Last Name*

Primary POC Title*

Primary POC Email*

Primary POC Phone*

Phone

Same as MOU Signatory?*

Will the primary point of contact be responsible for signing the MOU?

Yes

MOU Signatory First Name*

MOU Signatory Last Name*

MOU Signatory Title*

MOU Signatory Email*

MOU Signatory Phone*

Phone

Same as Billing POC?*

Should the primary POC be contacted for billing and invoicing communications?

Yes

Billing POC First Name*

Billing POC Last Name*

Billing POC Title*

Billing POC Email*

Invoicing Email (optional)

If different than the billing POC email provided above, please enter the email to which invoices should be sent.

Billing POC Phone*

Phone

Additional Contact Request

Do you want to add additional contacts to receive important Partner communications throughout the program(s)?

Additional Contacts

Please enter additional contact(s) to receive monthly mailings. For multiple emails, please separate emails using commas.

Example: email1@organization.edu, email2@organization.edu

IV. MOU Information

Does your school/organization require additional approvals or forms beyond a signed MOU to enter into an agreement with Relay?*

(e.g., RFP, vendor selection process, School Board vote, etc.) Please note that due to limited capacity on our team, we may only be able to engage with an additional process for partners who are sending a minimum of five fellows.

Yes

Please describe what additional approval is required.*

Does your school/organization require a PO as part of the payment process?*

Yes

Approximately how long does it take to create a PO once requested?*

2023-2024 National Program Offerings

NATIONAL PRINCIPAL ACADEMY FELLOWSHIP (NPAF) - $16,500 per person

The Principal Academy is a fellowship program that cultivates school leaders to become exceptional instructional leaders and transform their schools.

NATIONAL PRINCIPAL SUPERVISOR ACADEMY (NPSA) - $16,500 per person

The Principal Academy is a fellowship program that enables system-level leaders to effectively lead change across multiple schools through the coaching and development of school-based leaders.

INSTRUCTIONAL LEADERSHIP PROFESSIONAL DEVELOPMENT (ILPD) - $9,000 per person

A summer learning experience for school-based leaders to strengthen their foundational, instructional leadership.

INCLUSIVE SCHOOLS LEADERSHIP INSTITUTE (ISLI) - $12,000 per person

A fellowship program that empowers all leaders to build truly inclusive schools for exceptional leaders.

NPAF/NPSA ALUMNI REFRESH PROGRAM - $3,000 per person

V. Seat Requests

Please indicate the number of seats you would like to request with the Relay National Programs 22-23 cohort.

Individual Program(s) Seat Request*

National Principal Academy Fellowship (NPAF)

National Principal Supervisors Academy (NPSA)

Instructional Leadership Professional Development (ILPD)

Inclusive Schools Leadership Institute (ISLI)

NPAF/NPSA Alumni Refresh Program

National Principal Academy Fellowship - Seat Request

Please indicate how many seats you are requesting for each Summer Intensive cohort

National Principal Academy Fellowship (NPAF) Seats:*

July Summer Intensive Seats

National Principal Supervisors Academy - Seat Request

Please indicate how many seats you are requesting for each Summer Intensive cohort

National Principal Supervisor Academy (NPSA) Seats:*

July Summer Intensive Seats

Instructional Leadership Professional Development (ILPD) - Seat Request

Please indicate how many seats you are requesting for each Summer Intensive cohort

Instructional Leadership Professional Development (ILPD) Seats:*

July Summer Intensive Seats

Inclusive Schools Leadership Institute (ISLI) - Seat Request

Inclusive Schools Leadership Institute (ISLI) Seats:*

July Summer Intensive Seats

NPAF/NPSA Alumni Refresh Program - Seat Request

Please indicate how many seats you are requesting for each Summer Intensive cohort

NPAF/NPSA Alumni Refresh Program Seats:*

July Summer Intensive Seats

VII. Teacher Professional Education Programs Interest

Are you interested in booking Relay’s Teacher Professional Education workshops?*

Teacher Professional Education offers workshops delivered directly to teachers that align with the content in our leadership programs. Please see our website (link included on the left side of this form) to learn more about how we provide an outstanding synchronous virtual experience.

Would you like to book workshops for SY23-24? (Please note: If you would like us to deliver workshops prior to June 30th, please use the link to the left)

Yes

Not Sure - Need More Information

More Information

A Relay team member will be in touch shortly to schedule a time to talk about your customized sequence and needs

How many total teacher workshops would you like to purchase now?*

Please Note:

Each virtual workshop is 2 hours long and can accommodate 50 participants.
Please review our website, linked on the left, for more information on our series, catalog or to schedule time to talk
If you want to select an entire series, be sure to indicate the total number of workshops within it

Is Point of contact for Teacher Professional Education scheduling the same as the overall point of contact?*

Yes

TPE First*

TPE Last*

TPE Title*

TPE Email*

Send me a copy of my responses

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