Let's Go 1-2-3's Referral Form for Assistance

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Welcome to Let's Go 1-2-3's Referral Form for those that may need assistance in order to participate in an outdoor experience. Our organization is excited to help make that opportunity happen for you, someone you know, a group, or deserving organization. In order to get started, please complete this brief form. We accept submissions on a rolling basis so there is no deadline for when you must submit. You may complete more than one assistance form, but you will only be eligible to receive one award of support per year, if selected.

Please NOTE: Let's Go 1-2-3's assistance does not FULLY plan or fund outdoor experiences. It is our hope that the general legwork for making an outdoor experience happen is already done. This means that a general concept for the outdoor experience has been developed, there is an idea for timeframe(s) and/or locations, as well as permission received from any required people/parents/students before reaching out to our organization. We may not be able to assist with every formal need or financially cover exactly what you ask for, but our goal is to alleviate at least one barrier to an outdoor activity so that people can take next steps for helping our environment. We appreciate your interest and look forward to connecting.

Email *

Your First Name *

Your Last Name *

Your Email Address *

Your Phone Number *

Will you be the contact person for this request? If not, be sure to include that person's information in the next section. *

Yes

Who is this assistance for? If it is not for your(self)/family, please include the name of the person, teacher, group, school, organization, etc. that this assistance would benefit. *

Can you tell us a little bit of demographic information about the person(s)/group in need of assistance? You can list things like; Ethnic/Racial background, Socio-economic group, Gender, Parent dynamic, City/Zip code(s), History of experience, etc. and anything else you may want to provide. *

What type of Let's Go 1-2-3 assistance is needed (check more than 1 if applicable). NOTE: You will be able to explain further in the next question. *

Educators to teach lesson(s) about a specific outdoor/environmental topic

Materials (that we don't have) to assist with lesson(s)

Funding to cover an expense (ex. bus, entrance fee, ticket, etc.)

Other:

Required

The first (#1) step in the Let's Go 1-2-3 model is an indoor/flexible space type of activity related to the outdoor goal you are planning for. What would best describe what you would see as your 1st step for the outdoor experience that you are requesting assistance for?

An Educator/Facilitator coming to our site to teach about a topic related to our outdoor experience.

A Skype/Zoom/Virtual type of lesson presented by an expert or person knowledgeable about our outdoor experience.

An indoor (or outdoor) activity at our location that relates to the theme of our outdoor experience.

We already have our Step #1 idea and will describe it in the "OTHER" section below.

Other:

The second (#2) step in the Let's Go 1-2-3 model is an outdoor activity related to your outdoor goal you are planing for. What would best describe what you want to do for your 2nd step in your plan to reach your outdoor experience?

An Educator/Facilitator coming to your location to do an activity outside.

A kit or lesson that you use to explore the outdoor area at your location.

An Educator/Facilitator meeting you at a nearby outdoor location (park, field, schoolyard) to lead a lesson/program.

We already have our Step #2 idea and will describe it in the "OTHER" section below.

Other:

The third and final (#3) step in the Let's Go 1-2-3 model is your goal outdoor experience. Tell us briefly (no more than 5 sentences) about the outdoor experience being planned. If the barrier to making it happen is not with Step #1 or #2, let us know how Let's Go 1-2-3 can help, and what will be the next step after the experience is complete. *

After your final Step (#3) of completing your outdoor experience goal, what would be something you/your group does to help think about the experience, activity, or the outdoor site that you visited? (choose all that apply) *

Create photo albums of at least one of the activity(s) to share with others, friends and family.

Write/Send thank-you card(s) to the funders or Educators (with notes about what was learned).

Plan to visit or volunteer at one of the locations in the future, if possible.

Complete survey(s) of your experience and/or refer others to Let's Go 1-2-3.

We have a different idea and will write it under "OTHER" below:

Other:

Required

Anything else you would like us to know?

Thank You! Next Steps:

Thank you for completing this short assistance request form. We accept submissions on a rolling basis, with confirmation emails sent weekly (usually on Fridays). We review assistance requests monthly as part of Board Meetings and you will receive notification of assistance by the 1st of the month following the board meeting at which your submission is reviewed. In the event that you have questions or need assistance, you can email: info@letsgo123.org (please allow 24-48 hours for response).

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