PLT Proposal Form

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PLT Training Proposal Form

Facilitator(s) Information

* Indicates required field

Facilitator Name *

First

Last

Address *

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Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Guide/Invoice Ship To Address (if different than above) *

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Line 2

City

State

Zip Code

Country

Invoice email if different than facilitator *

When do you want the guides? *

Co-facilitator Name *

First

Last

Co-Facilitator Name *

First

Last

Co-Facilitator Name *

First

Last

Training Information

Training Type *

Other: *

Combination Including: *

Date(s) to be Held *

Location *

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City

State

Zip Code

Country

Training Time *

Open to General Public or Private Training to Specific Group (ROE/In-Service, etc.) *

Include this training in all public EEAI advertising? *

Yes

Specific Theme/Audience You Wish Advertised? (e.g. Homeschool, Spring, Seeds, etc.): *

Registration Deadline (to be listed on advertisements): *

Facilitator Guide Order

The following order will be placed by the State Coordinator to the national PLT warehouse. Guides and billing invoice will be sent directly to the facilitator from the national PLT warehouse.

By submitting this form, facilitator agrees to ensure payment for guides are received.

Environmental Experiences for Early Childhood
(20 Guides/20 CDs per box)

Number of Boxes *

Price per box, including shipping: $320

Total Cost *

PreK-8 Guide
(10 Guides per box)

Number of Boxes *

Price per box, including shipping: $220

Total Cost *

"Focus on Forests" Secondary Module
(20 Guides per box)

Nature Activities for Families

Number of Boxes *

Number of Guides *

Price per box, including shipping: $240

Total Cost *

Price per guide is $16.95

Total Cost *

Interested in other guide order (Projects Coordinator will contact you with more information) *

Energy & Society Forests of the World Places We Live Focus on Risk Solid Waste GS Investigations Biodiversity Biotechnology Southeastern Forests and Climate Change

Add Above Costs for TOTAL COST (enter n/a if interested in talking to Projects Coordinator for "other" guides) *

Training Finances

Participant training registration fees can be used to recoup necessary costs within a reasonable and customary range. Charges above direct reimbursement of expenses are discouraged.

Registration Fees *

Facilitators establish (per person) registration fees needing to be recouped (includes cost of guides, food, facility fee, etc.). The collected fees for each event will be sent via check to the party indicated below within 3 weeks post-training.

EEAI will add a $10 per participant fee to the amount you request above. This covers EEAI Projects administrative fees. (i.e. $20 PLT Facilitator proposed fee will appear as a $30.00 training via gifttool).

Reimbursement checks should be made out to: *

Address to send check *

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City

State

Zip Code

Country

Cost Includes Lunch Cost Includes Snacks Participants should bring a Lunch

List any in-kind donations/grants/scholarships obtained for this training: *

Additional Resource Request

Agendas, PowerPoint Presentations, Certificate of Completion and Flyer Templates can now be located on the EEAI Facilitator Access area.

The following additional resources are available if requested here: *

EEAI Membership Brochures

Submit PLT Training Proposal