REQUEST A PROPOSAL

    Contact Information

    School/Organization:

    Grade (s):

    Contact Information:

    Telephone:

    Email:

    Address:

    City:

    State / Zip:

    Request Overview

    Please provide a brief overview of the program you envision including current issues that you would like to address, goals you have for the program and other types of programs in which you have participated:

    Requested Dates:

    First Choice:

    Second Choice:

    Estimated Program Budget:

    Program Type

    DayOvernight

    Student Program Objectives (Check as many as apply)

    Orientation

    Moving Up/Capstone Event

    Team Building

    Conflict Resolution

    Bullying Workshop

    Personal Skills Development

    Clique Busting

    Environmental/Nature Study

    Leadership Development

    Bonding

    Trust Workshop

    Other (Describe Below)

    Staff Development Program Objectives (Check as many as apply)

    Team Building

    Tone Setting

    End of Season Celebration

    Effective Feedback

    Bullying Workshop

    Exploring Diversity

    Leadership

    Problem Solving Skills

    Conflict Resolution

    Achieving Group Consensus

    Experiential Ed. Workshop

    Coordination

    Play/Fun/Spirit Building

    Decision Making

    Group Focus

    Team Spirit

    Cooperation

    Peer respect

    Program Elements or Interest (Check as many as apply)

    Ice Breakers

    Marine Study

    Field Games and Initiatives

    Outdoor Skills Development

    Hiking

    Camping

    Rock Climbing

    High Ropes

    Canoeing

    Low Ropes

    Nature Study

    Adventure Race

    Other (Explain)

    Please use the space below to provide any additional information that might help us provide a specific program proposal: