Thank you for your interest in learning more about bringing the

My Discovery Destination! program to your area.

Name
First Last
Email
Phone
City or Community
Please Introduce Yourself and why you want to help bring My Discovery Destination! to your community.
How many hours per week do you plan to work?
When is your most common availability to work? (The hours are flexible. This is just to give us an idea of when you would most often plan to work.)
Where did you hear about My Discovery Destination! and the opportunity to be a Local Coordinator?*