Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sign Up for Character Day 2017!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Join us for Character Day on September 13th, a global event with free films, resources, and conversation that empower us to shape who we are and develop skills to flourish in the 21st century.
Participation is completely free!
We provide:
- Free award-winning short films
- Hands-on Discussion Kits
- Robust hub of online resources
- A global online Q&A to unify all the conversations
You:
- Create an event that works for you. Any size. Any time of day on Sept 13th. Anywhere in the world.
Sign up below to get started. We will help as much or as little as you'd like to make your Character Day a success. Over the next few months we will send helpful marketing materials to help spread the word.
Name of Organization
*
Your answer
Type of Organization
*
Choose
School District
Nonprofit Organization / NGO
Elementary / Primary School
Middle / Intermediate School
High / Secondary School
College/University
Family
Company / Corporation
Camp / After School Program
Congregation
Individual
Community Organization / Association
Name
*
Your answer
Last Name
*
Your answer
Email
*
Your answer
Phone Number
Your answer
City
*
Your answer
State
*
Choose
Not Applicable - Outside U.S./Canada
Alabama
Alaska
Alberta
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Manitoba
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Brunswick
New Hampshire
New Jersey
New Mexico
New York
Newfoundland
North Carolina
North Dakota
Northwest Territories
Nova Scotia
Nunavut
Ohio
Oklahoma
Ontario
Oregon
Pennsylvania
Prince Edward Island
Quebec
Rhode Island
Saskatchewan
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Country
*
Choose
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling Islands)
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire (Ivory Coast)
Croatia (Hrvatska
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
France, Metropolitan
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
S. Georgia and S. Sandwich Isls.
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and The Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre and Miquelon
Sudan
Suriname
Svalbard and Jan Mayen Islands
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City State (Holy See)
Venezuela
Viet Nam
Virgin Islands (British)
Virgin Islands (US)
Wallis and Futuna Islands
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwen
How many participants do you anticipate will attend your Character Day event(s)?
*
Select an approximate number.
Choose
1-9 participants
10-24 participants
25-49 participants
50-99 participants
100-199 participants
200-499 participants
500-999 participants
1000-4,999 participants
5000-9,999 participants
10,000+ participants
Within your institution (school, organization, company, school district, etc) approximately how many groups will participate? For example, one school might have 30 classrooms participate, or one company might have 4 departments participate.
*
Your answer
Do you currently have a character education program in place?
*
Choose
Yes
No
Have you participated in Character Day in the past?
*
Yes
No
If your event will be open to the public, check the box below to allow us to list your event details in September.
We'll email you in August to ask for your specific event details.
Choose
Yes, please list my event on Let it Ripple's website.
No, thank you
How did you hear about Character Day?
*
Choose
Facebook
Twitter
An email from Tiffany Shlain
Makenzie Darling
CharacterDay.org
Google Search
Common Sense Media
Nearpod
ClassDojo
Edmodo
Soul Pancake
Wisdom Labs
Born This Way Foundation
Mindset Works
Teacher's Guild/IDEO
Facing History and Ourselves
Edutopia
Committee For Children
InspirEd
Character.org
Foundation for Jewish Camp
US State Department
Character Lab
Covenant Foundation
Other (please explain below)
Amazon Inspire
PeaceJam Foundation
AFT
Live Happy
CharacterPlus
PACE
Templeton
The Forward
Life Vest Inside
C2/Liston Group
Charter for Compassion
LinkedIn
VIA Institute
caje
Happy Living
How did you hear about Character Day - Other
Your answer
Would you be interested in participating in a research study about the impact of Character Day? It requires minimal time commitment, and would greatly contribute to the future of character development around the globe.
*
Yes
Maybe
No
Facebook Page
Your answer
Twitter Handle
Your answer
Instagram Name
Your answer
Would you like to be an ambassador for Character Day to bring this global initiative to more groups in your community? Low time commitment, fun perks, and a way to engage more deeply in character development.
Yes
Maybe
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Let it Ripple.
Report Abuse
Forms