Request to Partner with CCMI Youth Programs
Basic Information
Title of Organization
Primary Contact First Name
Primary Contact Last Name
Primary Contact Email Address
Primary Contact Phone Number
What type of partnership are you interested in? (check all that apply)
Home base site
– a year-long commitment to
collaborating with
CCMI youth programs including providing space and learning opportunities for youth and young adult leaders
who
then
support a variety of work at your site
Project(s)
for
Youth Education Specialist
AmeriCorps member(s)
– 1-4 AmeriCorps members work on a project at your site or with your organization
Youth Education Specialist(s) lead a
n environmental education
workshop or
series of workshops
for your school, youth
group,
or community event
Project(s) for summer youth program to work on – one or more groups of up to 10 youth led by 2-3 adults work on a project at your site or with your organization during the summer
Field trip, tour, or educational experience for summer youth program – our youth interns and adult leaders visit your organization to learn about an environmental or conservation topic
Shadowing opportunity, training, or learning opportunity for AmeriCorps member(s)
Other or not sure – you are interested in working with CCMI youth programs but none of the above categories fit what you have in mind
Partnership Details
Home Base Site
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
How do you see being a home base site for CCMI’s youth program contributing to your organization’s goals?
W
hat space
(s)
and resources
at your site
will be
available for
approximately 10 youth and 2 adults to use Monday-Thursday during the summer program (indoor, outdoor,
dedicated room or shared with other programming
, severe weather shelters, bathrooms,
recreation equipment, tools
)
Which of the following
areas would the
Yo
uth Education Specialist focus on
at your site during the non-summer months?
Community engagement and outreach
Environmental and outdoor education for adults and/or the general public
Environmental and outdoor education for youth
Collecting and analyzing environmental data
Habitat restoration
Creating or maintaining trails
Water quality
Describe the specific projects, activities, and tasks the Youth Education Specialist would focus on at your site during the non-summer months
What training and professional development opportunities would you be able to provide for the Youth Education Specialist?
Which of the following areas would the AmeriCorps members and youth interns focus on at your site during the summer youth program?
Community engagement and outreach
Environmental and outdoor education for the general public
Environmental and outdoor education for youth/younger children
Collecting and analyzing environmental data
Habitat restoration
Creating or maintaining trails
Water quality
Describe the specific projects, activities, and tasks the youth interns (led by AmeriCorps members) would focus on at your site during the summer months
What training, career
exploration, and professional development opportunities would you be able to provide for summer youth interns?
What staff member(s) within your organization will
support or work with CCMI youth program? How much time will they have to dedicate to that work?
Project(s) for AmeriCorps Members
Describe the project – what do you want member(s) to do?
What is the purpose of the project?
What training or experience
is needed
to be successful? Are you able to provide
training to members?
How many Youth Education Specialist members would you like to work on this project?
Please select...
1
2
3
4
Estimated length of project
When will this project take place (time of year, month, or specific dates)?
What tools
and supplies
are needed for this project? Are you able to provide these tools
and supplies
?
Youth Education Specialist(s) Lead a Workshop
What would the topic(s) be for the workshop?
Examples: Watersheds/water quality/runoff, Minnesota animals, Food/gardening, Forestry/trees, Habitat restoration, Native and non-native plants, Environmental justice, Lakes/rivers/wetlands, etc.
Do you have a location in mind for the workshop or activity?
Indoors or outdoors?
Participant age(s)
Estimated number of participants
Would this be a recurring series or
one-time
workshop/event?
Please select...
Recurring
One-time
When would you like this to take place (season, month, or specific dates)?
What else should we know about your group or event?
Project(s) for Summer Youth Program
Describe the project – what do you want youth
(and adult leaders)
to do?
What is the purpose of the project?
What training or experience
is needed
to be successful? Are you able to provide
training?
Estimated length of project
When will this project take place (time of year, month, or specific dates)?
What tools
and supplies
are needed for this project? Are you able to provide these tools
and supplies
?
What
would youth gain from this project? Introduction to a certain field/career path,
hands-on technical skills, social/emotional or leadership skills,
etc.
Field Trip, Tour, or Educational Experience for Summer Youth Program
Location of experience
Brief description of opportunity
When
would the experience be available? (
specific
preferred
date
(
s
)
or guidelines such as day of week, time of day
)
Is there an entrance fee or other cost for the experience? Are there scholarships or
discounted prices available for non-profits, youth, or low-income participants?
How many
youth
would you be able to accommodate at a time?
What would youth gain from this experience? Introduction to a certain field
or
career path, hands-on technical skills, social/emotional or leadership skills,
learning about
culture or community, etc.
Shadowing Opportunity, Training, or Learning Opportunity for AmeriCorps Member(s)
Location of opportunity
Brief description of opportunity
When is this available? (specific date(s) or guidelines such as day of week, time of day)
How many AmeriCorps members would you be able to accommodate?
Other or Not Sure
Brief description of opportunity
or idea
Additional Information
What questions do you have for CCMI staff about partnering with youth programs?
Where did you hear about partnering with our youth programs?
Please select...
We have partnered with CCMI youth programs before
We have partnered with other CCMI programs before
CCMI staff or AmeriCorps member
From a CCMI alumni, donor, or other supporter
At a conference, career fair, or community event
CCMI website
Other
List:
Contact Information
