PASE Site-Based Services Request Form (* indicates required field. Enter "NA" for Site Name if single site organization.) Directions: To request site-based professional development services, please complete this form. Once we receive the request, a PASE representative will contact you to review your request, discuss next steps and complete a brief needs assessment. Click here for rates. * First Name: * Last Name: * Title: * Email: * Organization: * Site Name: * Phone Number: Phone Ext.: * Best Time to call: select one 9am - 12pm 12pm - 2pm 2pm - 5pm * Site Address: * City:  * State:  CT NJ NY * Zip Code: * How many staff members do you intend to include in the professional development? * Who is the target audience of the professional development you are requesting? Executive Management Direct Line Staff Multi-Site Directors Volunteers Site Directors Other (please specify below): Program Director * Check the boxes next to the professional development topics you are interested in: Academic Support: Academic Enrichment for Elementary, Middle & High School Programs Helping Pre-Teens Prepare for High School Academic and Personal Goal Setting for Youth Linking Afterschool Activities to School-Day Standards College Prep Services for Middle & High School Youth Strategies for Homework Help Cooperative Learning Techniques in Afterschool Study Skills&Organization Developmentally Appropriate Practice: Behavior Management Health & Sexuality Awareness & Programs Introduction to Adolescent Development Introduction to Child Development Understanding Boundaries and Ethics Enrichment: Beyond Food & Dance: Supporting Cultural Diversity Hands-On Math & Science Activities Creating a Culture of Literacy in K-12 Afterschool Program Literacy and the Arts Creative Use of the Arts Afterschool Planning Inclusive Holiday Activities Service Learning Programs Health and Safety: Bullying Prevention Gang Culture: Recognizing, Understanding & Countering Child Abuse Identification & Prevention Mental Health Services for Children and Youth Conflict Resolution Nutrition & Healthy Eating in Afterschool Developing Safety & Emergency Plans Safe Emotional Spaces for Children and Youth Dynamics of Family Violence Safe Emotional Spaces for Children and Youth Fitness Games and Programs Teaching Tolerance Summer Learning: Best Practices for Summer Programming Math, Science and Environmental Activities Creating a Culture of Literacy and Learning Making the Most of Summer Field Trip Exciting Summer Culminating Event Supervising Summer Staff Lesson Planning for Summer Training & Supervision of SYEP Staff Special Populations: Meeting the Needs of Formerly Incarcerated Youth Understanding the Full Spectrum of Developmental Disabilities Meeting the Needs of Homeless Children Working with Parents of Special Needs Children Meeting the Needs of Children in Foster Care Working with Undocumented Youth Understanding Your Program's Obligations in Serving Special Needs Populations Working with LGBTQ Youth Partnerships and Collaborations (Schools, Communities and Families): Building & Strengthening School/CBO Relationships Establishing Partnerships with Schools for Center-Based Programs Collaborating with Arts and Cultural Institutions Family Engagement & Involvement Conducting Community Needs Assessments Workforce Development: Building Your Skills as a Role Model & Teacher Professionalism in the Workplace Exposing Young People to the Arts as a Career Supporting Teens Who Work in Your Program Preparing Volunteers to Work in Programs Training of Trainers Professional Development Plans for Staff Program Design: Designing Effective Middle & High School Programs Project-based Program Design Effective Lesson Plans Thematic Curriculum Planning Program Development Using the NYSAN QSA Tool for Program Design & Assessment Program Management: Board Leadership Outcomes and Assessment Keeping Board Members Engaged and Focused Participatory Assessment with Youth Financial Management: Getting the Books Right Program Manual Preparation Managing Multiple Funding Streams Risk Management and Compliance Marketing and Communications Staff Recruitment and Retention New Site Directors Training Strategies & Resources for Professional Development Nonprofit Governance My agency is a PASE member - Yes No See the growing list of PASE Members Become a PASE Member Today! Keep me updated by email on upcoming afterschool training offerings, funding opportunities, newsletters, and advocacy updates! Yes No