MindUp | Request Consultation

Your Information

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Organization Information

Please provide us with information about the organization you are inquiring for.

Organization Name*

Organization Type*

Organization Type (Other)

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Organization Website

Organization Address*

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How did you hear about MindUP?*

Is your school district working directly with CASEL?*

Please tell us where and how you heard about MindUP

Please tell us about your previous experience with MindUP (if any)

Please tell us about your previous experience with other SEL Programs (if any)

MindUP Service Requests

How many schools are you requesting MindUP for?

Estimated number of participating schools?

Please enter a number from 1 to 10000.

Participants

MindUP programming varies depending on factors such as location of training and number of schools and participants involved. In the ‘Participants’ section below, please provide us with an estimate of the number of participants - teachers, staff members, and students - that would be using MindUP curriculum at your organization.

Estimated Number of Staff Participants?

Please include teachers, support staff, administrators and other adults interested in being trained.

Please enter a number from 1 to 100000.

Estimated Number of Student Participants?

Please indicate the approximate number of students in your school that will receive MindUP lesson.

Please enter a number from 1 to 1000000.

MindUP Implementation Launch Date

MindUP begins with a full day “Day One” Introductory Training.

When would you like to begin implementation of MindUP?

Implementation Start Date

Enter potential start date for MindUP implementation.

How flexible are your dates for scheduling this training?

Additional Information

Please provide any additional information that may be helpful.

Additional Information

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Inquire about MindUP

Your Information

Organization Information

MindUP Service Requests

Participants

MindUP Implementation Launch Date

Additional Information