YEA School to School Application

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Please fill in the information below. * required field

School/Group Details:

Name of School/Group:*

Address Line 1:*

Address Line 2:

City:*

State:*

Postal Code:*

School/Group Website Address:

Applicant/Contact Details:

Applicant/Contact Name:*

Email Address:*

You are - please select one:*

Staff Teacher Student

Please provide the following information regarding your school/group:

Age range:*

ex. 13-16

Number of Males:*

Number of Females:*

Demographics:*

Language Abilities:*

Location:*

Rural Urban

Please answer the following questions with as much detail as possible.
	1. What the areas of geographic interest and why? *
	2. What are the goals for participation in this project? *
	3. Will the school link be incoprorated into the curriculum or will it be part of an extracurricular activity? * Curriculum Extracurricular
	4. How will you spread the information and learning from the link to your school/wider community? *
	5. Do you have access to the internet for web chat and/or video conference technology? * Web Chat Video Conferencing Both None
	6. Please list any activities/ideas that you would like to do with your linking partner? *
	7. Are you interested in the following areas: *
	Yes No	Knowledge/understanding of other cultures
	Yes No	Day in the life of youth
	Yes No	Youth Participation
	Yes No	Advocacy
	Yes No	HIV/AIDS
	Yes No	Poverty
	Yes No	Community Development
	Yes No	Multi/Media
	Yes No	Arts
	Yes No	Child Exploitation
	Yes No	Education
	Yes No	Environment
	Yes No	Intercultural Exchange
	8. Are you able to dedicate a full year to this project? * Yes No
	9. What do you see as the benefits to students, the school and wider community of participating in an international school link? *
	10. How do you wish to communicate with your linking partner? *
	Yes No	Postal Mail
	Yes No	E-Mail
	Yes No	Web Chat
	Yes No	Video Conferencing
	11. Please list any experience that your school group has with international exchanges? *
	Additional comments:

After completing this form please click the submit button. You can also print this page and mail it to: School to School Program \| Plan USA \| 155 Plan Way \| Warwick, RI 02886