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AIM-AHEAD Connect Course Adoption Interest Form, AIM-AHEAD

Thank you for your interest in adopting one of the courses on AIM-AHEAD Connect for use at your institution. 

Please fill out this brief form so we can set up your cohort.

Your Name:

Your Email:

Your Institution/Organization/Program:

The name you wish to assign to your cohort:

Name of the course you wish to adopt:

Please indicate your preferred method for enrolling participants in their Cohort:
Additional questions, concerns, or comments: