Workshop Proposal Form

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Project WILD Workshop Proposal Form

Facilitator Information

* Indicates required field

Facilitator Name: *

First

Last

Co-Facilitator Name: *

First

Last

Facilitator Email *

Workshop Information

Type of Workshop: *

Project WILD Aquatic WILD Combined Project WILD & Aquatic WILD WILD About Elk Project Wild (Spanish Only) Other:

If Other, or different combination please describe: *

Date/s of Workshop: *

Time of Workshop: *

Location of Workshop: *

Address *

Line 1

Line 2

City

State

Zip Code

Country

What is included with the workshop? *

Breakfast? Lunch? Snacks? Resources? Guest Speaker? CPDU's?

Is this a private workshop or open to the public? *

Private Public

Is this workshop okay to publically advertise? *

Yes No

Please upload flyer/advertisement for this workshop: *

Max file size: 20MB

If you do not have a flyer or advertisement prepared for this workshop, please send the State Coordinator a copy as soon as possible. Thank you!

Guide Information

Where should guides be shipped to? *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Who receives guide invoice? (if same as shipping leave blank) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

How many Project WILD guides are you ordering? ($25/each) *

How many Aquatic WILD guides are you ordering? ($25/each) *

***Please Note: If you are offering a combined Project WILD and Aquatic WILD workshop the fees are 2 guides/$45 and will be adjusted accordingly on your invoice.

If you are ordering additional resources please list the item and quantities needed. *

Submit