Environmental Education Association of Illinois
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WILD Training Proposal Form
Submit with tentative agenda at least four weeks prior to training.
Facilitator(s) Information
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Indicates required field
Facilitator Name
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First
Last
Address
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City
State
Zip Code
Country
Email
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Phone Number
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Guide/Invoice Ship To Address (if different than above)
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Line 1
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City
State
Zip Code
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Invoice email if different than facilitator
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Co-Facilitator Name
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Last
Co-Facilitator Name
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First
Last
Co-Facilitator Name
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First
Last
Training Information
Date(s) to be Held
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Location
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State
Zip Code
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Training Time
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Combination Training with PLT?
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Yes
No
Open to General Public or Private Training for Specific Group (ROE/In-Service, etc.)
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Include this training in all public EEAI advertising?
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Yes
Specific Theme/Audience You Wish Advertised? (e.g. Spring, Seeds, etc.):
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Registration Deadline (to be listed on advertisements):
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Facilitator Guide Order
Type of Guides Needed
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Growing Up WILD $25 per guide hand delivered or $27 per guide if shipped
Project WILD K-12 $30 per guide hand delivered or $35 per guide if shipped
Training Finances
Registration Fees:
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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.
Reimbursement checks made out to:
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Address to send checks
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State
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Cost Includes Lunch
Cost Includes Snacks
Participants should bring a Lunch
List any in-kind donations/grants/scholarships obtained for this training:
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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:
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EEAI Membership Brochures
Obtaining Guides:
The State Coordinator will be in touch with you upon receipt of this form to arrange for Guide delivery/pick-up.
Submit Training Proposal