Information RequestHome / Information Request Group Name*Group Type*K-12 School or AffiliateGeorge Mason University Student GroupFairfax Co. MentorWorksBusiness/ CorporationCommunity GroupUniversity GroupGovernment AgencyOtherParticipant GradeAdults 18+High SchoolMiddle SchoolElementary SchoolIf you selected other, how would you categorize your group?Name of Primary Contact* First Last Phone*Email* Preferred Contact Method Phone Email Preferred time of day to call 8am - 12pm 12pm-4pm 4pm-6pm How did you hear about The EDGE?* Participated in a Previous Program A Friend A Colleague Website Facebook Other Approximate Group SizePlease provide a total number, or range, of your expected number of participants.Preferred Dates of Program MM slash DD slash YYYY * MM slash DD slash YYYY * MM slash DD slash YYYY Is this date flexible?*our schedule can book up fast, are you open to alternate dates, or is this the only date(s) you have available? Yes No Maybe If you are looking to come for more than one day, please list the preferred dates below:What are you interested in?*Our facilitators can customize your program to fit the specific needs of your group! I am ready to book a Team Development Course I am ready to book a program with high elements (e.g. Alpine Tower) I am ready to book a mobile EDGE on Wheels program I am looking for ALL my program options with prices I am checking if a date is available I would like to learn how an EDGE program works I would like help deciding what program best fits my group needs Other What are your goals for this experience?Ex: Problem Solving, Collaboration, Communication, Decision-Making, Relationship Building, Strategizing, etc.Any additional information you feel the EDGE staff should know? Δ
