Proposal Form

WILD Training Proposal Form

Submit with tentative agenda at least four weeks prior to training.

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 *

Co-Facilitator Name *

First

Last

Co-Facilitator Name *

First

Last

Co-Facilitator Name *

First

Last

Training Information

Date(s) to be Held *

Location *

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City

State

Zip Code

Country

Training Time *

Combination Training with PLT? *

Yes No

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

Include this training in all public EEAI advertising? *

Yes

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

Registration Deadline (to be listed on advertisements): *

Facilitator Guide Order

Type of Guides Needed *

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: *

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: *

Address to send checks *

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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

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