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Program/Project Proposal Submission Form

Contact Information
Proposal Details
Primary Contact (if different from above)
Professional Practice Gap(s) and Educational Need(s):

A. What problems are you trying to solve? What are learners doing that they should NOT be doing; or conversely, not doing that they SHOULD be doing? Please briefly describe below:

B. In general terms, what education is needed to close this gap?

i.e., each objective should include a verb that describes an action by the learner (not what the teacher will teach)
Proposed Volunteers/ Speaker
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by Dr. Radut.