Name * First Name Last Name Email * Job Title Institution Program NEOA Member? Yes No Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone (###) ### #### Amount of money requested (maximum $1500): Months/Years in EOP in New England: Proposed PD Opportunity/Name and Organization Type of PD Training: DIRECT SERVICE: This will help me enhance my skills and/or knowledge serving participants, parents, schools, and partners. INDIVIDUAL SKILL DEVELOPMENT: This will help me with my professional/career goals, or with specific areas I wish to enhance, including management and leadership, supervision, technology, grant writing, advocacy, or something else: PROGRAM DEVELOPMENT/ENHANCEMENTS: This will help me strengthen relevant areas including partner and stakeholder development, public relations, strategic planning, organizational structure, record keeping, compliance, or something else. OTHER - Please explain: Thank you!
