Admissions & Enrollment Interest Form

Thank you for your interest in Relay Graduate School of Education. Please complete the information below.

First Name*

Last Name*

Email Address*

Mobile Phone Number (10 digits)*

Birthdate*

Pronouns

Other Pronouns

Undergraduate GPA (please estimate)*

Term of interest*

State of interest*

Subject of interest *

Have you previously been admitted to and/or enrolled in a Relay Teacher Program?*

Yes

No

Have you secured an instructional role for the upcoming academic year?*

Yes

No

In what district or network do you have an instructional role?*

Do you give permission to Relay to share your contact information with school/district/network partners for employment opportunities?*

Yes

No

Please tell us how you heard about Relay.

Email from Relay

Job Search Sites (Idealist; Indeed; Monster)

Partner Organization

Relay Event (class presentation; info session; workshop)

Relay Student or Alum

School District or School Partner

Social Media (Facebook; Twitter; LinkedIn; Instagram)

Web Search (Google, Yahoo!, etc.)

Other

Please specify which Partner Organization:

Please write in the event name:

Please specify their name:

Please write in the School District or School Partner name:

Please select the social media channel.

Facebook

Instagram

Twitter

Please select the web search.

Google

Yahoo!

Other

Please write in the web search:

Please tell us how you heard about us:

By submitting this form, you give Relay permission to share important updates with you via a message sent to the mobile number provided. You can opt-out of text messages at any time.

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