GEAR UP Event Scheduling: 2021-2028 Please note that you must have written approval in ADVANCE from your Program Director in order to host any GEAR UP event. Please complete the following form at least two weeks prior to your event. Your Program Director will contact you via email regarding approval or requests for further clarification. OK Question Title * 1. Name of Event: OK Question Title * 2. Which work plan requirement does this activity fulfill? Financial Literacy Program Academic Enrichment CFWV Txt 4 Success Opt-In College Decision Day Faculty Senate Presentation WV GEAR UP Full School Launch Event Student Leadership Academy College Application and Exploration Week In-State College Campus Visit Parent/Guardian Initiatives CFWV.com Account Creation Student Success Society Programming Transition to High School Family Event GEAR UP U Summer Academy FAFSA Completion Workshop State Financial Aid and Scholarship Workshop Transition and College Readiness Family Event Other and joint events (i.e. college visit with job site visit): OK Question Title * 3. School: Buffalo Middle School Burch PK-8 Ceredo-Kenova Middle School Chapmanville Middle School Chapmanville Regional High School Clay County High School Clay Middle School Crum PK-8 Duval PK-8 Fort Gay PK-8 Geary Elementary/Middle School Gilbert PK-8 Guyan Valley Middle School Hacker Valley Elementary School Hamlin PK-8 Hannan Junior/Senior High School Harts PK-8 Kermit PK-8 Lenore PK-8 Lincoln County High School Logan Middle School Logan Senior High School Madison Middle School Man Middle School Man Senior High School Matewan PK-8 Mingo Central Comprehensive High School Nicholas County High School Point Pleasant Junior/Senior High School Richwood High School Richwood Middle School Roane County High School Scott High School Sherman High School Sherman Junior High School Spencer Middle School Spring Valley High School Summersville Middle School Tolsia High School Tug Valley High School Van Junior/Senior High School Vinson Middle School Wahama Junior/Senior High School Walton Elementary/Middle School Wayne High School Wayne Middle School Webster County High School Williamson PK-8 Wirt County High School Wirt County Middle School OK Question Title * 4. Please provide a brief (50 words or less) description of your event: OK The description you provide in the above field will be used to describe your event on the WV GEAR UP web site. It will also provide GEAR UP regional and central staff with a better understanding (and record) of your activity. OK Question Title * 5. Date and Time of Event: Start: Date Time AM/PM - AM PM End: Date Time AM/PM - AM PM OK Question Title * 6. Event location details: School/Organization: OK Question Title * 7. Specific location details (e.g. building, room #, etc.): OK Question Title * 8. Event Coordinator: OK Question Title * 9. Site Coordinator (if different than Event Coordinator): OK Question Title * 10. Target Grade Level (check all that apply): 7th 8th 9th 10th 11th 12th Postsecondary OK Question Title * 11. Event Category: Counseling/Advising College Visit Workshop Family Activities Parent Service Tutoring/Academic Enrichment Faculty Senate Presentation Back to School Event College Decision Day Event Transition Event Other (please specify) OK Question Title * 12. Target Audience (Check all that apply): Students Family Educators Community Members OK Question Title * 13. Which of the four GEAR UP objectives does this activity meet? Check all that apply: Increase academic performance and preparation for postsecondary education among GEAR UP students. Increase the rate of high school graduation and participation in postsecondary education for GEAR UP students. Increase the educational expectations, preparation and knowledge of postsecondary options and financing for GEAR UP students and their families. Enhance GEAR UP educators' knowledge to improve student achievement and success in postsecondary education. Provide additional details here, if necessary. OK Note: If your event does not meet at least one of the goals listed above, then the event cannot be counted as a GEAR UP activity. OK Question Title * 14. Are any GEAR UP funds being used to pay for this event? Yes No OK NEXT