Youth Work Methods Request Form
District Name
*
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Program Site(s)
*
1st Choice Date
*
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Calendar
1st Choice Time
*
2nd Choice Date
*
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Calendar
2nd Choice Time
*
Youth Work Method Requested
*
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Anticipated Number of Participants
*
Describe Training Participants
*
i.e. ages, experience, program roles, etc.
How do you plan to relate this training to activities within your program?
*
Contact Person Name
*
Contact Person Email
*
Contact Person Phone Number
*
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