NAZA-Funded Program Sites (Annex 8)

NAZA-Funded Program Sites (Annex 8)

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Name of Organization

Programming Information

Days of Week of Afterschool Program

4 days per week5 days per week

Afterschool site plan

Community SiteSchool SiteCheck the boxes that applies to your programming site plan.

Please check box if planning summer programming

Afterschool Program Name

N/A if name is same as Organization.

Name of School Site Location

Address of School Program Site

School Partnership Level

Number of youths targeted for site

Transportation needed?

YesNo

Name of Community Site Location

School or Building Name

Address of Community Program Site

Target School for Community Site

Number of youths targeted for site

3rd Party Transportation needed?

YesNo

Summer Programming Information

Summer Program Name

Name of Summer Site Location

State Building Name (Ex. Church or Community Center name)

Summer Location address

Number of summer youth targeted for site

Count only rising 5th and 9th grade youth.

Weeks of Programming

Days per Week of Summer Program

4 days per week5 days per week

Hours per Day

Programming Time Frame

Ex: 8:30am – 3:30pm

Proposed months of Summer programming

July 2024June 2025Both

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Contact Information