Equipando Padres Interest Form

Equipando Padres Interest Form
About Equipando Padres Academy

SHPE'S Equipando Padres Academy program provides K-12 parents and caregivers with the knowledge and tools to support their students attaining an engineering degree. Our goal is to incorporate culture, acknowledge challenges, and position parents as integral contributors to their student's success. We offer events to organizations across the US and PR. Events can be hosted on Zoom or in person and ran by SHPE members. We provide hands-on activities, discussions, and panels along with access to a suite of resources. Bring EP to your organization today!
Organization Name*
Contact Person*

First NameLast Name
I am a:*
Date*

MonthDayYear
Date
Contact Person Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Tentative Event Date*

MonthDayYear
Date
Event Location (School Name or otherwise)*
District or School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What grade levels are you hoping to impact with this event?*

ElementaryMiddle/IntermediateHighschoolOther
How many parents are you hoping to impact with this event?*

Less than 30 (one classroom)30-99100-300300+ (I am interested in a district or school wide event)Other
What percentage is your school/district Hispanic/Latino population?*
What percentage is your school/district free or reduced lunch?*
What, if any, parent population are you hoping to focus on during this event?*
Acknowledgment
I/We understand that prior approval is needed in order to conduct an event.

I/We understand that we need our parent or student attendees to fill out a consent or waiver form for any photographs or videos that will be used for the event.

I/We understand that information gathered from this event will not be sold and will only be used for program evaluation and communication within the organization.
Authorized Person Name*

First NameLast Name
Do you have any additional information or questions?
Should be Empty:

Equipando Padres Interest Form

About Equipando Padres Academy

Acknowledgment