ORGANIZATION INFORMATION

	Thank you for your interest in partnering with Fargo Public Schools! Proposals will be reviewed in December and May of every year.

	Name of Person Proposing:*

	Company:*

	Address:*

	City:*

	State*

	Zip:*

	Phone:*

	Email:*

	ACTIVITY RUBRIC - Please use the rubric to score your proposal.

	PURPOSE:*
	PURPOSE:* 4 - Activity clearly introduces, extends, or serves as a, “culminating event” for instruction. 3 - Activity somewhat introduces, extends, or serves as a, “culminating event” for instruction. 2 - Activity links to instruction, but fails to introduce, extend, or serve as a, “culminating event” for the current year’s curricula. 1 - Activity provides no link to instruction (may be used as a reward).

	ENDURANCE: Will this activity help students for years to come? *
	ENDURANCE: Will this activity help students for years to come? * 4 - It is clearly evident that the knowledge and skills gained during this activity will be utilized by the students for many years to come. 3 - It is somewhat evident that the knowledge and skills gained during this activity will be utilized by the students for many years to come. 2 - There is minimal evidence that knowledge and skills gained by this activity will be utilized by the students for many years to come. 1 - There is no evidence in which endurance exists.

	LEVERAGE: Will this activity support students in other academic areas? *
	LEVERAGE: Will this activity support students in other academic areas? * 4 - It is very clear that knowledge and skills gained in this activity will support students in other academic areas. 3 - It is somewhat clear that knowledge and skills gained in this activity will support students in other academic areas. 2 - There are few skills gained during this activity which will support students in other academic areas. 1 - There is no evidence in which leverage exists.

	DOES THIS ACTIVITY HAVE...*
	DOES THIS ACTIVITY HAVE...* 4 - a direct link to curriculum and is a major component of study? This activity is not repeated at other grade levels. 3 - a supplemental link to the curriculum? This activity is not repeated at other grade levels. 2 - a relation to school experiences? 1 - only a motivational and incentive purpose?

	TOTAL SCORE - Please add up your score and enter the total here:*

	NOTE: If you receive a score of less than 12 points, you might want to reconsider the focus and purpose of your activity.

	EDUCATIONAL ACTIVITY INFORMATION

	Purpose of Activity: What will the students learn?*

	Description of activities and content area(s) aligned to: Examples - science, health, reading, math, etc.*

	Standards focused on:*

	Click here to view North Dakota Standards

	Date ranges offered:*

	Location: School building or off-site?*

	Intended as district wide or building specific? If building specific, which building(s)?*

	Amount of school time missed/length of trip or visit:*

	Target grade level: Please give reasoning.*

	Ratio of student to chaperone expected:*

	Cost and/or funding:*