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
    Resource Management
    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
    Caving
    Camping
    Rock Climbing
    Sailing
    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: