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TDLC Program Proposal Form

Please keep your answers brief, to 250 words or less. 

Contact Information
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First Name
Last Name
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First Name
Last Name
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How often and for how long? Include dates and times if possible.
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These are broader, more long term goals which you hope that the program will accomplish.
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These are specific, measurable goals which you plan to accomplish by the end of your program.
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Long-term, broad impact you hope to make with your program, most likely addressing a specific issue.
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For our use to create marketing materials.