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Applicant's name: |
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School name: |
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School district: |
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School address: |
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City:
State:
Zip: |
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School telephone: |
School fax:
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School website: |
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Applicant email: |
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Grades in program:
(check all that apply) |
Middle School & High
School
6th
7th
8th
9th
10th
11th
12th
College/University
Fr
So
Jr
Sr |
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Program implementation: |
Hours/week for program:
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Intended start date:
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Student demographics:
(% for each) |
Caucasian
%
Hispanic/Latino
%
Asian
% |
| Pacific Islander
%
African American
% |
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School population: |
Intended program concentration:
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Average class size: |
Middle
School:
6th
7th
8th
High School:
9th
10th
11th
12th
College/University
Fr
So
Jr
Sr |
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Avg. student/teacher ratio: |
1 instructor per
students |
| Please provide details
about your school so that we may ascertain
suitability for the NFFSP Program 1.
Resources
A. Please provide your gym
specifications:
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B. If available, provide additional
facilities you have access to at your school;
these may include tennis courts, sports fields,
pools, additional gyms, equipment, etc.
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C. Do students currently have access to
fishing equipment through school?
Yes
No
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D. Is there fishing equipment/materials
available at the district level?
Yes
No
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2.
Capacity
A. Describe any past experience the
school has with fishing program(s):
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B. Do any teachers involved in
participating in the NFFSP have experience in
fishing? fly fishing? If so, please
describe their experience level and planned
involvement
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C. Describe the
availability of water resources with proximity
to your school and how they might be utilized in
conjunction with the NFFSP.
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3.
Program Implementation and support
A. Will NFFSP have cross-curricular
involvement with school subject matter other
than PE? If so, what will that look like
with the overall school curriculum goals?
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B. Describe how your school might
support the viability/sustainability of the
NFFSP program. School support may include
administration, staff, teachers, parents and
after school programs.
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4.
Sustainability
A. How long do you foresee the NFFSP
program remaining in your school's PE or other
curriculum? What are some of your ideas
for keeping the program viable for future years?
Please relate this issue to funding, staffing,
permanent program adoption into the school and
community support.
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| 5.
Agreement Thank you for applying for the NFFSP
Program. We look forward to helping you
implement "FlyFishing in Schools" in your
school.
I have read
this application for the NFFSP and have filled it out to the best
of my knowledge.
Sign
Date
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