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Submit a Program

All non-profit agencies should complete this form in detail and submit it in order to be added to the list of non-profit organizations available to the Cobb County and Marietta City Schools.

Agency Name
Mission Statement
Street Address
City
State
Zip Code
Phone Number
Web Site

Contact Name/Title
Contact Phone
Contact Fax
Contact Email

Contact Name/Title
Contact Phone
Contact Fax
Contact Email

Program Title
Program Description
Is the program held at the school Yes No
If no, where?
Is transportation provided by the agency? Yes No
Program is offered
(check all that apply)
During School Hours
After School
Weekend
Summer
Is there a specified time/length
If yes, describe
(# of sessions, length, etc.)
Target Age? Grades K-2
Grades 3-5
Grades 6-8
Grades 9-12
Adult
Is there a fee? Yes No
What is the fee?
Max # of Students Per Session
Requirements from school
(Specific space, custodians,
technology, etc.)
Are Volunteers Used? Yes No
Minimum Age of Volunteers
Are current background checks kept
on all staff and volunteers?
Yes No
Does your agency carry Liability Insurance? Yes No
Program funded by?
Is there a program Evaluation Process Yes No
Description
Is the agency a 501(c)3? Yes No

Upload your program's logo
Which of the following categories does your
organization fit into, please check all that apply.
After School
Alcohol/ Drug Prevention & Intervention
Character Education
Clothing
During School
Employment
Food
Health
Helpline for resources and/or discussion
Housing
Literacy
Math
Mental Health
Mentoring
Music Dance
Parent Resources/ Training
Programs offered in Spanish
Recreation
Science
Sports
Teen pregnancy prevention
Theatre/Drama
Tutoring
Visual Arts
Weekends

I understand that:

  • The Cobb Collaborative Education Council is an equal opportunity organization, and does not consider race, color, sex, religion, national origin, age, marital or veteran status, disability status, or any other legally-protested status in any participation.
  • The Cobb Collaborative Education Council has not evaluated these programs and does not endorse any of the programs.  These programs are being offered as resources, and school staff is encouraged to ask questions about these programs and do necessary research.

I agree:

  • That my organization is a fully paid member of the Cobb Community Collaborative
  • That a representative from my organization is a member of the Education Council participating in a majority of the scheduled meetings or over 50% per year.
  • That a representative from my organization is willing to participate in 2 meetings per year with an individual school representing the Collaborative as a whole and not just my individual organization.
  • I agree to report on any program resulting from connections made through this website on the site’s Evaluation Form.

By clicking submit, you agree to these terms.