Southeastern Kentucky Project WILD Regional Service Center
Eastern Kentucky University
c/o Robert J. Miller
Memorial Science B-13, EKU
Richmond, KY 40475-3123
Phone (606)-622-2167
Fax:(606)-622-6181 or (606)-622-1020
E-MAIL: ELE1MILLER@ACS.EKU.EDU
Project WILD Workshop Proposal
Name:____________________________________________________________________
Title and Position:___________________________________________________________
Mailing Address:____________________________________________________________
ZIP:___________________ Phone:_____________________________________________
Date of Proposed Workshop:____________________ Time(s):______________________
Location:____________________________________ City:_________________________
Facilitators:________________________________________________________________
Proposed Number of Workshop Participants:___________________________
Number of Project WILD Guides Needed: K-12:___________ Aquatic:____________
Address to which Project WILD Guides should be sent:________________________
____________________________________________
Date by which materials should arrive:______________________________________
Participant Survey/Evaluation Forms and Completion Certificates will be sent with Teacher Guides.
Please mail this Workshop Proposal at the earliest possible date to the above address.
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