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Mela Mela Innovation Lab, fall 2024 Application
Section 1: District Information
District name
District address
Contact Person
Name
Title/Role
Phone
Email
Section 2: Interest and Fit
Why is your district interested in the Mela Mela Pilot Program?
What are your goals for participating in the Mela Mela pilot?
(Select all that apply)
Do you have any other goals you want us to know about?
Section 3: Pilot Implementation Details
How many teachers are committed to participating?
(Minimum of 3 required)
How many additional IEP team members are participating (optional)
(E.g., paraprofessionals, specialists, administrators)
Current tools or platforms used for IEP collaboration and management:
Availability during the pilot duration (4-12 weeks):
Preferred start date:
Do you have any scheduling constraints?
Section 4: Support and Feedback
What support would be most valuable during the pilot?
How does your district currently measure the success of new programs or initiatives?
Section 5: Commitment and Authorization
Who will your district designate as project lead to oversee the pilot program?
Section 6: Acknowledgment and Submission
Is there anything else you would like us to know?
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