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* 1. What is the name of the Organization hosting the program?

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* 2. Short Overview of Agency (1-2 sentences)

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* 3. What is the title of the program?

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* 4. Eligibility: Are there any restrictions for who can participate? (Age, gender, grade level, etc.)

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* 5. Time: When does the program run? (Please include what days of the week and time of day)

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* 6. Program Activities: What should participants expect to do while in the program?

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* 7. Contact Details:

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