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APPLY HERE
The Program

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Application: ReImagine Islamic Education Summer Intensive

We want to ensure that you have an amazing, quality experience that is tailored and acknowledges your stage of your education endeavors, experiences and your goals in the most productive way . In order to do this, we need to learn a little bit about you and your interest and if this is the best fit for you.

Please answer the following questions.

Name(required)

Name of Organization or Education Structure(required)

Email(required)

Phone(required)

What is your current role in your organized learning space or community?(required)

I would best describe myself as: (Select all that apply)(required)

Homeschooler Micro School Founder Micro School Educator Micro School Administrators Parent Home School Co-op member Home School Co-op Organizer Community Organizer Unschooler Other

How did you hear about us?

If you answered OTHER above, please explain (or write N/A).(required)

Please rate the extent to which you feel confident in your ability to implement innovative educational practices on a scale from 1 to 5. (1 being not confident at all and 5 being very confident)(required)

Please rank the following topics in order of priority for discussion at the institute, with #1 being the highest priority and #5 being the lowest priority:

(required)

(required)

(required)

(required)

(required)

What is a problem you have identified in your practice? and What is your Theory of Change for this problem?(required)

What are 3 key attributes you want to bring into your school/ learning space?(required)

What is the most challenging aspect of your work/responsibilities within your education space?(required)

What are your primary goals for attending the institute? (Please provide a brief description)(required)

Share any additional information that you think would be beneficial.

Upon Submission of registration form, you will be redirected to the payment page to complete your registration and confirm your seat in this Design Lab. Thank you for your time and thoughtfulness in your answers.

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