Examples of Intergenerational Programs and Intergenerational Leadership
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Intergenerational and Older Learner Programs in Illinois Inventory
Name of Program
*Please fill in Name of Program
Contact Person and Title
*Please fill in Contact Person and Title
Name of School or College
*Please fill in Name of School or College
Level of Education
Please Select One...
Preschool
Kindergarten
First through Fourth Grade
Middle School
High School
Community College
University
Community
Other
*Please select a Grade
Address
*Please fill in Address
City
*Please fill in City
State
*Please fill in State
Zipcode
*Please fill in Zipcode
Phone
*Please fill in Contact Phone Number
Email
*Please fill in Contact E-mail
How is your program organized? (Who is responsible?)
Please Select One...
Volunteer Coordinator (paid)
Volunteer Coordinator (unpaid)
Teacher
Parent
Older Adult
Principal
District Office
Dean
Provost
Student Affairs Office
Older Adult Group
Other (please specify below)
*Please specify how your program is organized
Description of the Program
What is the goal of your program? Where and when programs are programs held and who is involved? Give an example of the activities and tell a story about a memorable experience. ( Use 75 words or less)
*Please fill in Description of the Program
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