Please fill out the following information:
* Required fields
First name
*
Last name
*
Address
*
City
*
State
*
& Zip
*
AL
AK
AS
AA
AE
AP
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Country
*
Email
Phone
*
Fax
Note: Our primary communications will be electronic via our Web site and email. If you do not furnish us an email address, we will try our best to keep you up to date my mail (but that will be slower).
Initial registration (or update). Please check one:
I am a member of the Harvard Business School class of 1963.
I have (will) join The Partners of '63.
I am the Spouse/Significant other of a classmate that has joined The Partners of '63.
I'd like to register for the following program (check one):
DonorsChoose
Expeditionary Learning Schools
FIRST
Innovations for Learning
Public Education Leadership
The New Teacher Project
Year Up
New Active Program (specific in comments section)
You may register for more than one Program, but must register separately for each one.
Initially, I am prepared to commit to the following level of involvement for the next 6-12 months. I'll update this form, as my interest level changes, up or down, over time.
2 days per month
At least 1 day per month.
About 1/2 day per month.
I'll contribute financially, but probably not my time.
Keep me informed on progress.
Comments:
Any information you provide to The Partners of '63 will be treated in the strictest of confidence and used only by us.
© Applecore Partners
Home
Contacts
Partners Worksite