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Summer 2021 Proposal
Please complete by May 1, 2021
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* Indicates required question
Email
*
Your email
Name of Proposed Summer Program
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Your answer
Short 2-3 sentence description of program
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Your answer
Where will this program take place?
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Your answer
Please list proposed date(s) for the program. These dates can be any time during the month of June - August (beginning and ending - if multiple days)
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Your answer
Please list the proposed times for this program
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Your answer
What grade level students will be allowed in the program? (check all that apply) (grade level for 2021-22 school year)
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Open to all grades
Preschool
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Other:
Required
Describe the goals of the program (include any academic-related goals that you will be incorporating into the program)
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Your answer
Will you need access to a vehicle(s) or school facilities, if so, please be specific.
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Your answer
Please list any supplies/materials that will need to be purchased and provide a total $ estimate. (include where these supplies will be purchased from)
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Your answer
Will you be providing any food services during the program?
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Both breakfast and lunch
Breakfast only
Lunch only
Barbeque/picnic style meals
Other:
Required
Will there be volunteers involved that may be out of sight/sound of a current employee?
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Choose
Yes
No
Will any of the students be a migrant student or a student that is significantly behind academically?
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Yes
No
Unknown
Other:
Required
Will there be staff that will need to be paid?
*
Choose
Yes
No
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