Organization & Program Context

First name

Last name

Email

Position

Company name

Website

Description of Organization

What type of audience is this program for?

Program Details

Program Title

How long is this program?

Single session (60–90 min)

Multi-day workshop (2–3 days)

Weekly series (e.g., 4 or 6 weeks)

Ongoing club or mentorship model

Delivery Format

Virtual

In-Person

Hybrid

How many participants do you expect?

Do you already have a facilitator or team who will deliver the program?

Yes

No

Not sure yet

What topics or themes should be covered? (list 3–5 keywords)

Examples: resilience, financial literacy, communication, engineering, college readiness, DEI, storytelling

Are there any topics or approaches we should avoid?

What existing skills do your team/facilitators have that we can build around?

Example: group facilitation, podcasting, art, STEM, entrepreneurship

Any specific cultural/community context we should consider?

Do you need any of the following delivered as part of the curriculum?