| Society of Educational Resource Groups (SERG) Application Form | |||
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| Section A | |||
| 1. | Name of Organization | ||
| 2. | Mailing Address | ||
| 3. | Location Address (if different) | ||
| 4. | Contact Person(s) | ||
| 5. |
Title |
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| 6. | Phone | ||
| 7. | Fax | ||
| 8. | |||
| 9. | Title | ||
| 10. | Phone | ||
| 11. | Fax | ||
| 12. | |||
| Section B | |||
| 1.
How long have you offered educational programs?
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2. What is your average annual program participation? |
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3. In your school programs, do you provide teacher workshops? yes - no
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| 4. Do you provide community programs? yes - no | |||
| Section C | |||
| 1. State your organizations mission statement. | |||
| 2. State your organization's educational objectives. | |||
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3. How has your organization demonstrated its commitment to educational programming (e.g. personnel, financially)? |
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| 4. How do your programs accommodate participants with special needs? | |||
| 5. How will SERG benefit from your membership? | |||
| 6. What benefits will you obtain from SERG membership? | |||
| 7. How does your organization remain current in educational issues and your programs? | |||
| Section D | |||
| Please include the following with your application: | |||
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1. A description of your programs (please provide information on program length and cost.)
4. Your organizations program evaluation strategy.
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*Please note that you will have the opportunity to elaborate on some of the above points in your presentation
Please
return your application to: |
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