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Report Card Champion: Workshop Request Application
Galveston Bay Report Card Champion Program
Grades: K-12, Community Groups
Conservation efforts in the Houston-Galveston region have increased with the introduction of The Report Card Champion Program. It is a new advocacy program that gives students and community groups the skills and knowledge needed to cultivate action for Galveston Bay. In addition – it creates an inspiring awareness to action in the current and next generation of conservationists. It seeks to empower the community in the Houston-Galveston area to advocate and preserve Galveston Bay – a vital natural resource for our health and economy by using the Galveston Bay Report Card
The program consists of a workshop followed by a project or campaign that can be used to conserve Galveston Bay. It can be tailored to elementary through high-school or adult groups and includes:
-A comprehensive introduction to conservation leadership, specifically focusing on Galveston Bay issues, will be provided to all participants.
-Next, an overview of professional development skills will be presented – such as the importance of building partnerships, team collaboration, and project development.
-Lastly, hands-on activities to promote communication skills and deepen understanding of complex issues present in Galveston Bay.
Program Price Scale:
$50 - 1-2 hour Condensed Workshop
$100 - 2-4 hour Extended Workshop
I understand the pricing scale, and that payment is due 3 days prior to scheduled program.
*Scholarships are often available with grant and donor funding. Please fill out the scholarship section at the end of the form to be considered for a full or partial scholarship!
Contact Name:
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Last
Title:
Phone Contact: Day of Presentation
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Email:
Name of School / Organization:
School District (if applicable):
Best way to contact you?
email
phone
School / Organization Address:
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Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
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Gibraltar
Guinea
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Cote d'Ivoire
Kenya
Lesotho
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Madagascar
Malawi
Mali
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Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
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Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
Address of Presentation if Different from School / Organization Address:
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Antigua and Barbuda
Aruba
Bahamas
Barbados
Belize
Canada
Cayman Islands
Cook Islands
Costa Rica
Cuba
Dominica
Dominican Republic
El Salvador
Grenada
Guatemala
Haiti
Honduras
Jamaica
Mexico
Netherlands Antilles
Nicaragua
Panama
Puerto Rico
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Trinidad and Tobago
United States
Argentina
Bolivia
Brazil
Chile
Colombia
Ecuador
Guyana
Paraguay
Peru
Suriname
Uruguay
Venezuela
Albania
Andorra
Armenia
Austria
Azerbaijan
Belarus
Belgium
Bosnia and Herzegovina
Bulgaria
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Faroe Islands
Finland
France
Georgia
Germany
Greece
Hungary
Iceland
Ireland
Italy
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Macedonia
Malta
Moldova
Monaco
Montenegro
Netherlands
Norway
Poland
Portugal
Romania
San Marino
Serbia
Slovakia
Slovenia
Spain
Sweden
Switzerland
Ukraine
United Kingdom
Vatican City
Afghanistan
Bahrain
Bangladesh
Bhutan
Brunei Darussalam
Myanmar
Cambodia
China
East Timor
Hong Kong
India
Indonesia
Iran
Iraq
Israel
Japan
Jordan
Kazakhstan
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Lebanon
Malaysia
Maldives
Mongolia
Nepal
Oman
Pakistan
Palestine
Philippines
Qatar
Russia
Saudi Arabia
Singapore
Sri Lanka
Syria
Taiwan
Tajikistan
Thailand
Turkey
Turkmenistan
United Arab Emirates
Uzbekistan
Vietnam
Yemen
Australia
Fiji
Kiribati
Marshall Islands
Micronesia
Nauru
New Zealand
Palau
Papua New Guinea
Samoa
Solomon Islands
Tonga
Tuvalu
Vanuatu
Algeria
Angola
Benin
Botswana
Burkina Faso
Burundi
Cameroon
Cape Verde
Central African Republic
Chad
Comoros
Democratic Republic of the Congo
Republic of the Congo
Djibouti
Egypt
Equatorial Guinea
Eritrea
Ethiopia
Gabon
Gambia
Ghana
Gibraltar
Guinea
Guinea-Bissau
Cote d'Ivoire
Kenya
Lesotho
Liberia
Libya
Madagascar
Malawi
Mali
Mauritania
Mauritius
Morocco
Mozambique
Namibia
Niger
Nigeria
Rwanda
Sao Tome and Principe
Senegal
Seychelles
Sierra Leone
Somalia
South Africa
Sudan
Swaziland
United Republic of Tanzania
Togo
Tunisia
Uganda
Zambia
Zimbabwe
Country / Region
# of Adult Participants (Teachers / Chaperones):
# of Youth Participants (K-12th Grade):
Grade Level(s):
Number of Presentations Requested:
Presentation Start Time:
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Presentation End Time:
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the first date being your top choice:
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Additional Information
Ex: students with special needs, outdoor setting, etc.
How did you hear about this program?
*
Facebook
GBF Announcements Email
Friend or family member
School administrator
Booth
Teacher workshop
Other
Scholarship Information
The goal of GBF education scholarships are to enable schools with limited resources the opportunity to experience a variety of hands-on environmental education programs. Scholarships are dependent on grant or donor funding. If you would like to be considered for a full or partial scholarship, please fill out the following section.
Scholarship Requirements - schools receiving a scholarship will be responsible for the following:
• Appropriate Communication with GBF staff.
• Post-Program evaluations filled out completely.
Please check the scholarship amount you would like to request:
Full scholarship
Partial scholarship
Percentage of students currently attending school that qualify for free/reduced lunch program:
Please describe why your school/organization is a candidate for an education scholarship and what financial barriers challenge your school:
How will this program positively impact your students/members?