Become an Organizational Admin – REACT Initiative, Inc.

Section 1. Organization Information

Tell us about the organization you represent.

Organization name *

Organization type * School or school district University or college Private practice or clinical organization Nonprofit organization Educational consulting organization Other

Street address

City *

State / Province

Country *

Approximate number of users your organization expects to support *

Section 2. Administrator Information

Provide the information for the individual who will manage the organization's account.

First name *

Last name *

Professional title / role *

Work email address *

Phone number

REACT DA Project account username or email, if applicable.

Section 3. Organizational Use

Help us understand how your organization plans to use REACT DA Project.

How does your organization plan to use REACT DA Project? * Professional learning and staff development Dynamic assessment training and implementation Educational or clinical assessment Research or academic purposes Access to REACT DA Project courses and resources Other

Briefly describe your organization's goals for using REACT DA Project. *

Is your organization interested in participating in live professional development sessions to earn ASHA CEUs? * Yes No Maybe / I'd like more information

Section 4. Administrator Responsibilities

Please review and acknowledge the following responsibilities before submitting your request.

I am authorized to request organizational administrator access on behalf of the organization identified in this application. * I understand that organizational administrator access may allow me to manage organizational membership and user access, subject to the platform's permissions and policies. * I agree to maintain the confidentiality and security of account credentials and to ensure that organizational members use the platform appropriately. * I understand that organizational access is subject to REACT DA Project's terms, policies, and approval process. *

Section 5. Final Confirmation

I certify that the information provided in this application is accurate and complete to the best of my knowledge. *

What happens next?

After submitting your application, your request will be reviewed. You will receive a notification regarding your application status, quote, and any next steps.

Submitting this form does not automatically grant organizational administrator privileges.

Section 1. Organization Information

Section 2. Administrator Information

Section 3. Organizational Use

Section 4. Administrator Responsibilities

Section 5. Final Confirmation

Thank you for your submission.

We have received your information, and our team will contact you very soon.