Adult Coordinator Registration

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Email

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Name*

First Last

Personal Email*

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Please use a personal email and not a school email

Phone*

Best Way to Contact You

When is the best time to call you?

Hour

:

Minute

AM/PM

Username*

Password

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School Name*

School District*

School Address

City State / Province / Region

Interest in starting S3 at:*

Intermediate

Middle

Junior High

High School

I am a...*

Parent

Teacher

Administrator

Youth Minister

Other (please explain in "Additional Information"

How did you hear about S3?*

Internet

Friends or Family

Church

Social Media

Word of mouth

Join our Mailing List?*

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Additional Information

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*After submitting this form you will then be directed to Protect My Ministry, which is a background screening company. This is the final step to registration with Students Standing Strong.

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