Golden Gate Center for Enrichment - Programming Request
Name of organization: *
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Address:
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Website if applicable:
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Contact Person: *
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Phone: *
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Email: *
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Facilitator Name:
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Facilitator Email:
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Facilitator Phone:
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Program Name: *
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Focus Area *
What language(s) will the program be offered in? *
Required
Program Description: *
Please describe the program model so House of Hope may better understand how your program will meet the mission of the Golden Gate Center for Enrichment. This description will be used internally and will not be made available to the public.
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Using only a few sentences, please write how you would like your program to be listed on the GGCE calendar. *
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Program Goals & Outcomes: *
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Program Structure: *
Ex: Class runs for 6 weeks total. No new participants after the first two classes.
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Is your program faith-based? *
Minimum & Maximum number of participants: *
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What demographic is your target audience? (Age, gender)
Male
Female
Male & Female
5-10
11-14
15-18
19-25
26-54
Seniors 55+
Open to all ages
Are there any restrictions on participants?
Ex: Age minimum/maximum; Must be Martin County resident; Child must be with parent or guardian.
Your answer
How will you recruit participants? *
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How will you be marketing your program and sharing the Golden Gate calendar in the community? *
Please check all that apply
Required
How often will you need to use the room? *
Required
Please select the preferred start date & time for your program: *
We will contact you to confirm availability of your preferred schedule.
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Start Time: *
Time
:
End Time: *
Time
:
Does your program allow walk-ins or do participants need to pre-register? *
Will you need any of the following? *
Please note, it is your responsibility to set up the room to best meet your needs. Please plan to arrive early to set up.
Required
Is there anything else we should know about your program?
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