Needs Based Application:

Educational Programs

 

This application is meant as a tool to help the education committee decide which groups show the most need for a free or reduced rate educational program from Big Cat Rescue. Please fill out all information to the best of your ability to ensure that your group is considered appropriately. Mail to: Willow Hecht, Big Cat Rescue, 12802 Easy St. Tampa, FL 33625 (813) 323-3265 [email protected].

If you would like to sponsor a field trip for under privileged children, contact Willow above.

Date_________

Contact Information

Institution/Group Name__________________________________________________________

Address_______________________City___________State____Zip________

Phone_______________________Fax_________________________

Type of Institution (school, church, etc.)______________________________________________

Is your Institution/Group a 501 (c) 3 charity? Yes  or  No    If so include documented proof

Primary Contact Person________________________________Position____________________

Contact Phone__________________________
E-mail___________________________________

Has your group ever been to a Big Cat Rescue Program? Yes or No

If yes, when, what type of program and how much did your group donate __________________________________________________

Program Information

Is this request for:  Reduced Rate Program   or    Free Program

If Reduced Rate, what amount could you pay per participant?_____________________________

Type of Educational Program Requested (sanctuary tour, in-school lecture, crafts/work project etc.)________________________________________________________

Number of Students involved___________Grade Level____________

What are the best program dates, lengths and times to conduct a program with your students? ____________________________________________________

Would your group be willing to have students participate in projects to help defray the program costs (penny drive, creating educational displays, recycling drive)?  Yes  or  No

Comments

Use a separate sheet of paper to best describe the benefits to be gained by your students from participating in an educational program with Big Cat Rescue. Please also include any additional information about your school and/or students that you feel was not covered in the application.