Project EEASY registration form In order to confirm your Free program you must complete all information below with-in 2 weeks of receiving this form. Registration is a 2 step process:
Fill out the EEASY registration form.
Pick a date and time for your program. (we will confirm exact time in the follow up email)
You will need to repeat this process for each grade level. If you have any questions please contact Cindy Davidson 954-649-7717.
* Lead teacher first name:
* Is your school a Title 1 school?
* Does your school primarily cater to underserved students?
School demographic data is collected to fulfill grant requirements.
Total % should = 100.
* School Demographics- % Black students.
* School Demographics- % Hispanic students
* School Demographics- % Asian students
* School Demographics- % Mixed-race students
* School Demographics- % White (non-Hispanic) students
* Do you have a food forest or garden on your campus?
Select the appropriate grade level, YEA can accommodate up to 5 rotations of one grade level program per day. Program content is adapted for each grade level.
* What grade level will attend this program?
* Estimated average class size?
* How many classes will be particpating?
* Will we have access to a TV or projector with USB ports?
* Please advise if there are any necessary considerations for individuals who may require extra support or accommodations due to physical, mental or development challenges. Please enter N/A if you do not have any.
Pease advise our team where to park on your campus. Please consider our early arrival and your parent drop off line procedures and traffic load.
Please let us know if you have any questions.
Once this form is submitted, you will be prompted to schedule the date for your program. You must BOOK your program during this session or you will need to complete the above form again.