STAFF INFORMATION FORM

Welcome to REACH! We are so excited to have the opportunity to partner with you and your center! REACH trainings are designed to help teachers manage challenging behaviors and support children's social-emotional development. We look forward to getting your trainings started. REACH starts by getting to know each staff member. Please fill out this Staff Information Form for us so we can learn more about you.  
  
  
PART 1
  

 
Center Name:
Center City or Town:
First Name:
Last Name:
Work Phone:
Cell Phone:
PDR Number (If you do not have a PDR number, enter 0):
Email Address:

How often do you usually check your email?

The REACH program includes follow-up contact during the month with the trainer/coach. Would you prefer to be contacted via text or email?