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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Organization or School Name?

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* 4. Address (street, city, zip)

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* 5. Phone

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* 6. Email

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* 7. Web Address

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* 8. Please note: Mini-grant checks will made payable to the individual or organization above and mailed to the address above, unless otherwise noted below.

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* 9. Which CSYSG Train the Trainers workshop did you attend?

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* 10. Who are the key people who will be involved in planning and delivering this training? Is this is a collaboration between multiple organizations? If so, please provide names and organizational affiliations.

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* 11. What is your role in supporting school gardens?

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* 12. Briefly describe what you or your organization does.

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* 13. Describe your or your organization's prior experience in garden-based education and/or delivering trainings to adults

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* 14. Who is the potential audience for your training?

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* 15. How many people do you plan to train?

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* 16. How many different schools will be represented?

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* 17. When and where will your proposed training take place? Tell what you are thinking, you do not have to have confirmed plans to apply for a mini-grant.

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* 18. Please check to confirm that your training site includes:

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* 19. Please describe other resources or materials that you plan to incorporate into your training.

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* 20. Will you provide follow-up support to the schools that attend your CSYSG workshop? If so, please describe.

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* 21. Do you plan to charge a registration fee? (Please note that $40/person is the maximum allowable fee under grant guidelines). If so, list amount per person and/or amount per school team. If no, leave blank.

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* 22. Is there anything else you’d like us to consider about your funding request?

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