What type of organization is it? (select all that apply) *
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Website address
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Physical Address
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Zip Code *
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Curriculum or Program Name *
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Audience Served (select all that apply) *
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Geographic Audience Served (select all that apply)
Content Covered (select all that apply) *
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Content Details
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Is this curriculum or program (in its development or content) addressing the themes of diversity, equity, inclusion and/or cultural responsiveness? If so, please explain:
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Is this curriculum or program (in its development or content) addressing the theme of environmental justice? If so, please explain:
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Does this curriculum or program have a focus on climate education?
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Where does this program take place? (select all that apply)
Does this program take place during school hours? (for PreK-16 curriculum and programs)
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Does this program take place outside of school hours? (for PreK-16 curriculum and programs)
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# Served Annually *
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Program Length/Contact Time
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Aligned with AZ CC Standards?
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Does this program support any of these special initiatives? (select all that apply)
Program Cost
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How do you collaborate, cooperate, and coordinate with other groups? (e.g., Does your programming align with other programs outside of your organization?)
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What did your programs look like in prior years? What do they look like today in response to COVID? Based on what you know today, how do you anticipate they will look in the future?
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Contact Name (contact information will not be made public) *
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Contact Email Address *
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Contact Phone Number *
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Any additional notes or comments about your program that you'd like to share?