Summit Event and 220 Course Registration
Summit Date: April 5, 2023
Location: Missouri S&T, Rolla, MO

For questions, contact us at abanks@missouri.edu
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Email *
Name of your school or organization: *
We are asking that each participating organization identifies at least one person to serve as the champion for your organization that will be the main point contact for communication with MASN and 220 throughout this entire program.
Champion first and last name(s): *
Champion email address(s): *
For the summit: Including chaperones, how many adults will attend? *
For the Summit: How many new students (who have not taken a 220 course before) will attend? (Answer N/A if doesn't apply) *
For the Summit: How many students (who have completed a 220 course this 22-23 school year) will be attending? These students will receive a certificate at the summit! Also, let us know if your group is currently working on a 220 course, but won't have it completed before the Summit - you can still definitely attend! (Answer N/A if doesn't apply) *
How many of your students who have completed a 220 course would be willing to make a short presentation to the group? An estimate is fine! *
Have any of the students you're bringing attended a 220 summit before? *
For the Summit: Dietary restrictions (include number and type of restriction): *
Will you need any support with transportation for the Summit? (we don't want this to be a barrier!) *
If you need support with transportation, please specify 
Our commitment to you!
Exciting and life-changing Summit event where your students will engage in hands-on learning focused on Leadership and setting up their careers, view a presentation from college admissions officer, and go on a campus tour.

Access to the 220 curriculum that can be implemented through in-person lesson plans or online courses. New students will start with The Leadership Course and returning students will begin the Professional Course.

We and our partner, 220, will also provide consistent support through:
weekly office hour appointments, email support and monthly check-ins, bi-monthly virtual PLC meetings, and online technology support.

Thank you so much for your time and we can't wait to see you at the Summit! 
Missouri Afterschool Network
A copy of your responses will be emailed to the address you provided.
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