Lesson/Program Plan Submission

Complete this form to have your program submitted to the repository.

Sharing knowledge and experience is the best way to contribute to the profession. Your submission will be reviewed prior to posting. Thanks for your contribution!

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* 1. Program Title:

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* 2. Program Objective:

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* 3. Target Audience:

pre-K

K-5th grade

6-12 grade

Family

Adult

Adults 55+ years

Other (please specify)

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* 4. Staff Needed:

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* 5. Space Needed:

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* 6. Materials Needed:

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* 7. Funds Needed:

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* 8. Describe happens from the minute the first participant arrives until the departure of the last participant.

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* 9. Desired Outcomes:

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* 10. Stakeholders (who would want to know about this program; might be interested in helping; might also benefit; etc.):

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* 11. Marketing included:

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* 12. Evaluation of the program included:

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* 13. Links to any social media or web pages related to the program are:

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* 14. Contact information is optional but helpful.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number