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Name of your School/District:

Your Name

Title

Telephone # (Office - Direct)

Telephone # (Mobile)

Address

City

State

Zip Code

Number of Students at your School

Estimated Number of Learners* Participating in CTE/Workforce and College Readiness Program (*learners may include students, staff, and others in your community)

Full CTE License cost (# of learners x $600)

Is 75% of your student body eligible for free or reduced lunch?

Yes No

Cost with NEF CTE Grant (if over 100 participating learners and at least 75% of student body is eligible for F/R lunch = -90% or # of learners x $60)

Cost with NEF CTE Grant (if over 100 participating learners = -75% or # of learners x $150)

What general subject areas do you think would best meet the needs of your learners? (select all that apply)

Why do you think you should be selected?
Important Selection Criteria:
1) Alignment with your CTE and Workforce or College Readiness needs and your commitment to make the program a success (see linked document below to gain a better understanding of our popular training pathways)
2) A passionate Program Director.
3) Commitment to fund this program ($150/learner/year).

Any Comments, Questions, or Requests

*Link to –> Popular NEF Skillsoft Courses & Training Pathways

Questions? contact Dr. Tim Tatsui, NEF VP of CTE & Higher Ed at
timtatsui@nationaleducationfoundation.org or (310) 266-2902.