21st Century Animal Resource

21st Century Animal Resource and Education Services has provided character development and humane education programs for students and youth groups around the nation since 1992; We are now able to provide humane education instruction for anyone wishing to begin providing substantive programs to local schools and youth groups. We review all information needed to include into the program, homework assignments, lesson plans and community outreach projects. We assist with gaining access to the classrooms and scheduling.

We also offer programs for troubled/at risk teens implemented to reduce the over extended juvinile court systems through the guidance counselor's office under character deverlopment. See www.21stcenturycares.org/rqstheptt.htm

We are funded by private and government grants. We do not charge individual schools, cities, counties or states for services and programs we provide.

For consideration of 21st Century CARES providing your please fill out the following form. Form must be filled out completely.

Today's Date ___________

Contact Name __________________________________

Contact Phone Number ___-___-_____

Mailing Address _____________________________________________

City, State, Zip Code ________________________________________________

Contact Email Address ______________________________

Brief Description of type of program you hope to provide______________________________________

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What age groups do you wish to address? (our recommendation is 5th grade and higher)_____________

Do you have additional volunteers willing to provide presentations as well?_______________

Approximate number of classrooms or youth groups you plan to visit in the next 12months?______________

Will you include a 'child-safe' pet? (many schools say no, but we feel it's very important to include a safe pet) _______________

If yes, has the pet been seen by a professional to assure safety?___________ If no, please explain any

stumbling blocks you have encountered or anticipate_________________________________________

_________________________________________________________________________________

Will You be accompanied by an associate to assist you? _____________

Do you have an optional location such as a responsible rescue facility for field trips? _____________

Date you hope to begin giving presentations._______________

Can you set aside 30 min to make a phone call to Randy Warner to help with details?_____________

Please Provide Any Additional Info You Fee We Should Know ___________________________________

______________________________________________________________________________________

When form is completed, please email to 21stcares@citlink.net or mail to Humane Education 16224 North Linda Dr. PO BOX 373 Dolan Springs, AZ 86441-0373 Attn: Randy Warner