Coaching Your Team - Nomination Form

Enrollment Procedure and Information:
Application deadline is May 15, 2017. A $200 deposit is due with this application or no later than May 24, 2017. Remaining balance of $425 must be received by August 1, 2017. Make checks payable to ADVIS. There is a 10% discount for second participant from the same school. Suggestions for additional topics may be submitted in the space provided on the form below. Applicants will receive initial instructions and directions by August 4, 2017.
Please note, this form must be completed by a school head and indicates Head of School approval/recommendation of the applicant in the Candidate section below. In the first section, please input your information as Head of School. Thank you -
Today's Date:
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Head of School Information
HOS First Name:
HOS Last Name:
Name of School (or Organization):
HOS Email Address:
HOS Telephone:
Candidate's Information
The following information pertains to the candidate who you, as Head of School, are recommending be a participant in the program.
Candidate First Name:
Candidate Last Name:
Candidate Email Address:
Your Suggested Topics
Please note, this space is for you, as recommending Head of School, to suggest topics you would like to see covered in this program, with your candidate and their professional development in mind. The candidate will also have an opportunity, at a later time, to identify areas of interest and suggested topics to further their own learning and development.
I confirm that funding for this candidate, if accepted, is approved by me, as Head of School.
Please place your initials in the space below:

As an added security measure, please enter the following text in the box below.

Association of Delaware Valley Independent Schools | 701 W. Montgomery Avenue, Bryn Mawr, PA 19010 | 610-527-0130
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