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.

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* 1. Name of Event:

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):

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* 3. School:

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* 4. Please provide a brief (50 words or less) description of your event:

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.

Question Title

* 5. Date and Time of Event:

Start:

Date

Time

AM/PM

End:

Date

Time

AM/PM

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* 6. Event location details:

School/Organization:

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* 7. Specific location details (e.g. building, room #, etc.):

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* 8. Event Coordinator:

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* 9. Site Coordinator (if different than Event Coordinator):

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* 10. Target Grade Level (check all that apply):

7th

8th

9th

10th

11th

12th

Postsecondary

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* 11. Event Category:

Other (please specify)

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* 12. Target Audience (Check all that apply):

Students

Family

Educators

Community Members

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* 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.

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.

Question Title

* 1. Name of Event:

Question Title

* 2. Which work plan requirement does this activity fulfill?

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* 3. School:

Question Title

* 4. Please provide a brief (50 words or less) description of your event:

Question Title

* 5. Date and Time of Event:

Question Title

* 6. Event location details:

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* 7. Specific location details (e.g. building, room #, etc.):

Question Title

* 8. Event Coordinator:

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* 9. Site Coordinator (if different than Event Coordinator):

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* 10. Target Grade Level (check all that apply):

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* 11. Event Category:

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* 12. Target Audience (Check all that apply):

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* 13. Which of the four GEAR UP objectives does this activity meet? Check all that apply:

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* 14. Are any GEAR UP funds being used to pay for this event?