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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