Program Proposal Form - Uniondale Empowerment Resource

Uniondale Empowered Community Center Program Proposal

Please submit your completed program proposal template to the Uniondale Empowered Community Center as soon as possible so we can secure funding for your proposed programming. You can email it to uerc.uniondale@gmail.com. For any questions, please contact us at (516) 440-6004.

OR

You can submit the online form below.

Program Proposal Template

Program Information

Program Title *Provide a concise and descriptive title for your program.

Program Description *Briefly describe the purpose and activities of the program.

Target Audience *Choose Your Target Audience

Specify OtherIf you select Other, please specify your choice in the field below.

Program Objectives *List the main goals and outcomes your program aims to achieve.

Program Details

Program Schedule Date *

Program Schedule Time *

Hours

Minutes

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code

Country *

Program Structure *Outline the format of the program (e.g., workshops, classes, support groups, etc.).

Resources Needed *List any materials, equipment, or resources required to run the program.

Program Implementation

FacilitatorsProvide the names and qualifications of the individuals who will lead the program.

Facilitator Name *

Qualification *

Partnerships *List any organizations or individuals you plan to collaborate with for the program.

Funding and Budget: *Estimate the costs associated with the program and identify potential funding sources.

Program Impact

Expected Outcomes *Describe the positive changes or benefits the program will bring to the community.

Evaluation Plan *Explain how you will measure the success of the program (e.g., surveys, attendance records, feedback forms, etc.).

Contact Information

Program Coordinator *Name of the person responsible for overseeing the program.

Email Address *

Phone *

Additional Information

Additional NotesInclude any other relevant information that may support your program proposal.

We are the Oversight Board elected by the Uniondale Residents to bring accountability and transparency to the Community affairs as a Whole

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