Extracurricular Stipend Survey
This form is for club advisor, mentor, or spring coaches to fill out.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
School Name
Name of the Activity
Can you willingly continue leading the activity remotely during the school closure?
Yes
No
Please briefly explain how you will lead the activity remotely during the school closure.
0/500
Submit
Should be Empty: