Forms


Program Description

Please fill out all fields in the form.

Program Description:
Developer Contact Name:
Address:
City:
State & Zip:
Phone Number:
Email:
Program Title:
Program Description:
Preparation - Time Required:
Space Required:
Types of materials:
Procedure:
Implementation - Time Required:
Space Required:
Materials:
Procedure:
Cost - Non Recurring Costs:
Recurring Costs:
Has Value to the Community/Environment: Rate How your Citizen Stewardship Program supports the following guiding principles please rate on a scale of 1 to 5 (5 fully addresses this principle and 1 does not address principle) or fill n/a if it does not apply
Give participants something important and authentic to do:
Give participants opportunities to voice their opinions; influence policies and/or outcomes:
Provide Participants opportunties to actually do the animal caring or habitat improvement:
Provide participants with real life, emotional opportunities:
Offer value to participants:
Offer connections to other appropriate resources and/or opportunities:
Gratification may not necessarily or always come from nursing a wounded or orphaned animal to life; it may more likely (preferably) come from "leaving it alone" and being able to discriminate what constitutes caring:
Provides Camaraderie/Fun for Participant: Please fill in this section with the same instructions as above.
Camaraderie is important; sharing like values is important:
Communication is very important; provide logistics up front, explaining what is to be expected; follow up after the project with recognition:
Incorporate recreation in the activity:
Provide a human connection; guides; offer a guide/leader who will pay attention to students/participants:
Is Rewarding for the Participant: Please fill in this section with the same instructions as above.
Make participants feel needed:
Provide activity(ies) that produce(s) direct feedback to participants:
Exercise participant's passion; give them an emotional connection:
Let volunteers/Participants become your ambassadors:
Is Accessible/Appropriate for the participant: Please fill in this section with the same instructions as above.
Provide geographic buy-in and responsibility or a sense of place that's to scale with the audience:
Offer projects requiring different levels of ability:
Create local projects that are less physically demanding:
Pay attention to the participant's areas of interest (schoolyard, back yard, neighborhood, etc.):
If you have any additional comments please write them here:


Program Description Template w/ Infomation for Donors

Please fill out all fields in the form.

Program Name:
Original Developer Contact Info
Name:
Organization:
Address:
Email:
Phone:
Intended Audience Demographic:
Age:
Description:
Intended Outcome:
Program Description:
Cost:
Non-recurring costs:
Recurring costs:






Partial Funding Provided by the Arizona Community Foundation.
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