* First Name:		* Last Name:
* Title:		* Email:
* Organization:		* Site Name:
* Phone Number:		Phone Ext.:
* Best Time to call:	select one 9am - 12pm 12pm - 2pm 2pm - 5pm	* Site Address:
* City:		* State:  CT NJ NY	* Zip Code:
* How many staff members do you intend to include in the professional development? * Who is the target audience of the professional development you are requesting? Executive Management Direct Line Staff Multi-Site Directors Volunteers Site Directors Other (please specify below): Program Director Rates for Site-Based (NYC) Professional Development Technical Assistance Contracts This includes a needs assessment and final report. TA requests must be a minimum of three hours. Hours and a description of services will be included Scope of Work to be approved before services begin. Rate: $175 an hour Training Contracts This includes a needs assessment, training session(s) and training materials. Please note for some workshops, additional materials fees may apply and will be outlined in training agreement. One session rate Half day training (2.5 hours)     $850 Full day training (5 hours)  $1,250 Three part series Three half day (2.5 hour) on-site training sessions  $2,400 Three full day (5.0 hour) on-site training sessions  $3,600 Please note that these rates apply to nonprofit organizations. * Check the boxes next to the professional development topics you are interested in. Please limit your request to 5 topics. If you are interested in additional topics, these can be requested during the needs assessment. Academic Support and Enrichment: Academic Enrichment College Prep Creating a Culture of Literacy Creative Use of the Arts Hands-On Math & Science Linking Afterschool Activities to School-Day Service Learning Sports and Recreation Homework Help Developmentally Appropriate Practice: Behavior Management Adolescent Development Child Development Health and Safety: Bullying Prevention Child Abuse Identification & Prevention Conflict Resolution Developing Safety & Emergency Plans Gang Culture: Recognizing, Understanding & Countering Mental Health Services for Children and Youth Nutrition & Healthy Eating Summer Learning: Best Practices for Summer Programming Making the Most of Summer Field Trips Summer Culminating Events Partnerships and Collaborations (Schools, Communities and Families): Building & Strengthening School/CBO Relationships Community Asset Mapping Family Engagement & Involvement Workforce Development: Professional Development Plans for Staff Professionalism in the Workplace Training of Trainers Program Design: Effective Lesson Plans Outcomes and Assessment Project- and Theme-Based Curriculum Planning Using the NYSAN QSA Tool for Program Design & Assessment Program Management: Board Development Financial Management Human Resources Leading and Managing Staff

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