Planting Ideas

Greetings and excited to hear you or your team are interested in exploring - testing out an Advocacy Idea in your community. GREAT! Check out the questions below and we'll see what we can do to HELP YOU!

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* 1. What is today's Date?

Please indicate ......

Date

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* 2. Briefly describe your Idea.

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* 3. WHY are you pursuing this IDEA - Why is it important to do at this time, etc.?

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* 4. WHERE did/will it take place?

In a COMMUNITY setting

With a LOCAL SCHOOL (grammar, middle, high)

Within a college/university on campus

Not sure where at this time

Any additional comments:

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* 5. Have you implemented this idea yet?

Yes

Yes - a part of it

No, not yet

General Comment:

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* 6. TYPE OF IDEA

Materials Development

One session ONLY

Multiple sessions

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* 7. What HELP do you need at this time? (Check ALL that apply.)

Funding

Clarifying GOALS or ACTIVITIES

Identifying PARTNERS

Other (please specify):

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* 8. Let us know how we can CONTACT YOU:

Name: *

Address:

City/Town: *

State: *

ZIP:

Country: *

Email Address: *

Cell/Text Number: *