Program Template
Program Template
Please note: this will be posted on the wiki so please do not include information you do not want available on the web
Table of ContentsProgram TemplateName of OrganizationName/Title of 1st Prevention ProgramMaterials/Curriculum/Campaign Used/AdaptedResources AvailableEvaluation EffortsFunding SourcesSamples of Materials/Exercises/ etcName/Title of 2nd Prevention ProgramMaterials/Curriculum/Campaign Used/AdaptedResources AvailableEvaluation EffortsFunding SourcesSamples of Materials/Exercises/ etc
Name of Organization
- Organization address
- Organization website
- General contact email for organization
- Contact telephone for organization
- FAX:
- TTY:
Description of the organization.
Name/Title of 1st Prevention Program
- Program contact person’s name, job title
- Program contact person’s information (email, telephone, etc)
- Program website
Description of the prevention program.
Materials/Curriculum/Campaign Used/Adapted
Resources Available
- Product A here: include description and how to obtain
- Product B here: include description and how to obtain
Evaluation Efforts
Funding Sources
Samples of Materials/Exercises/ etc
- Sample A
- Sample B
Name/Title of 2nd Prevention Program
- Program contact person’s name, job title
- Program contact person’s information (email, telephone, etc)
- Program website
Description of the prevention program.
Materials/Curriculum/Campaign Used/Adapted
Resources Available
- Product A here: include description and how to obtain
- Product B here: include description and how to obtain
Evaluation Efforts
Funding Sources
Samples of Materials/Exercises/ etc
- Sample A
- Sample B