ET Project Intake Form Project SponserName* First Last Email* Phone*Bureau or Section* If you are not the supervisor of this section, please provide their name Project DetailsName of the Project* Who is the intended audience that this project will be for?*Please list out the overall goal of the project.*Please list out the objectives of the program that will support the above goal.*How many students will this training be intended to reach? What is the proposed timeline to have this program in place and available to students?What is the project deadline in which it must be finished by?* MM slash DD slash YYYY Is this project part of a series of other projects?* Yes No Formats that this Training will be DeliveredPlease indicate how this program will be delivered*NHOODLECD/DVDLectureBlended ProgramOtherDoes this project require an evaluation?* Yes No Will this project require a certificate of completion?* Yes No What project resources will be provided (i.e. PPT presentations, scripts, pictures, etc)If these materials are copyrighted, can you supply the permissions to use them? Yes No