Educational Materials Submission Form

If you have questions about this form contact Claudette L. Smith, Ph.D., Cooperative Extension Program, North Carolina A&T State University, Greensboro, NC – 336-334-7956.

 

 

Please enter only one educational material on each form. You may enter as many forms as you like.

 

Title of Material:

Year Published:

Length:

Author:

Cost:

Ordering Information:

Contact Person:

Email Address:

Phone Number:

Select the category that best describes the financial literacy education program or services offered:

Money Management (General)

Credit Management
Saving and Investing
Household Risk Management
Legal Issues for consumers
Finances For Living

Target Audience :

Select the target audience for your educational material based on the categories below. You may select audiences under both categories (General Audience and Low to Moderate Income Audience) if appropriate.

General Audience

Adults (general)

Parents

Single parents

Senior Citizens

Minorities (adults)

Hispanic

African American

Women

Native American

Other (specify)

Youth (School based)

Kindergarten

Elementary

Middle school

High school

College students

Other (specify)

Minority Youth ( Community based)

Hispanic

African American

Native American

Other (specify)

Educators/Teachers

Kindergarten

Elementary

Middle School

High School

Community based educators and volunteers

Other (specify)

Speciality Groups

Small Farmers

Other (specify)

Low to Moderate Income Audience

Adults (general)

Parents

Single parents

Senior Citizens

Minorities (adults)

Hispanic

African American

Women

Native American

Other (specify)

Youth (School based)

Kindergarten

Elementary

Middle school

High school

College students

Other (specify)

Minority Youth ( Community based)

Hispanic

African American

Native American

Other (specify)

Educators/Teachers

Kindergarten

Elementary

Middle School

High School

Community based educators and volunteers

Other (specify)

Speciality Groups

Small Farmers

Other (specify)

 

 

On what educational level is the material written: (Check all that apply.)

Low literacy adult (approx. grade 6)

Age appropriate for the youth target audiences identified above

Appropriate for audiences identified above

Don't know

 

Language

English

Spanish

Other (specify)

 

Type of Material: (Check all that apply.)

Audiotape, Brochure, Pamphlet, Game or Simulation, Computer Software – CD,DVD or Disk, Spanish Language, Video…English, Spanish, Book, Periodical, Train-the-trainer curriculum or teaching guide, Student workbook, Website

 

Example Abstract:

“This publication has been used across the country to help consumers prepare for their retirement years. The materials are provided free of charge to North Carolina residents."

 

Provide a maximum of 40 word summary of the educational materials you are submitting.

 

Date, Times and Locations (optional)

 



A North Carolina Cooperative Extension initiative, led by The Cooperative Extension Program at North Carolina A&T State University, in collaboration with businesses, community groups, agencies, schools, universities and non-profits across North Carolina.