SOP 214.04-att-4: EBP Elective Proposal
Summary
Key Topics
- EBP elective
- evidence-based practice
- inmate programs
- educational programming
- facility programs
- Pathfinder
- program proposal
- phase-based curriculum
- class facilitation
- program materials
- inmate rehabilitation
- correctional education
Full Text
SOP 214.04
Attachment 4
02/20/25
Page 1 of 2
|Col1|Col2|EBP Elective Proposal|Col4|Col5|Col6|Col7|Col8|Col9|
|---|---|---|---|---|---|---|---|---|
|Submitted by|Submitted by|||||GDC #|||
|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|Identify which Phase(s) your program corresponds to: (you may select more than 1 if applicable)
Phase 1 Phase 2 Phase 3 Phase 4|
|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|Explain how elective/class will meet the objective of the above-identified phase(s)(Use
additional pages if necessary)|
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|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|Elective Facilitator Information|
|Name||||GDC #||Pathfinder
Graduation
Date|Pathfinder
Graduation
Date||
|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|Narrative Outline of Proposal and required information|
|Individual Class/elective
time per day(i.e., 1 hour)|Individual Class/elective
time per day(i.e., 1 hour)|Individual Class/elective
time per day(i.e., 1 hour)|||Anticipated allotment of
time for entire project (i.e.,
10 days)|Anticipated allotment of
time for entire project (i.e.,
10 days)|Anticipated allotment of
time for entire project (i.e.,
10 days)||
|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|Class Materials Needed(i.e., Flip Chart Pads, Markers, Arts & Craft Supplies)|
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|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|Special Equipment needed(i.e., Graphic Printers, Computer Software or Musical Instruments)|
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Retention Schedule: Upon completion this form shall be maintained by the Statewide EBP Coordinator for two (2)
years.
SOP 214.04
Attachment 4
02/20/25
|Page 1 of 2|Col2|Col3|Col4|
|---|---|---|---|
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Provide, in detail, an outline or elective narrative(what you want to do and how you will do this. Use
additional sheets as necessary)|
Provide, in detail, an outline or elective narrative(what you want to do and how you will do this. Use
additional sheets as necessary)|
Provide, in detail, an outline or elective narrative(what you want to do and how you will do this. Use
additional sheets as necessary)|
Provide, in detail, an outline or elective narrative(what you want to do and how you will do this. Use
additional sheets as necessary)|
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|GDC USE ONLY|GDC USE ONLY|GDC USE ONLY|GDC USE ONLY|
|Anticipated Cost/
Total Budget||Anticipated
Start Date||
|Reviewed by
(EBP Facility Coordinator)||| Approved
Denied|
|Reason for Denial|
|
|
|
|Reviewed by
Warden Superintendent||| Approved
Denied|
|Reason for Denial|
|
|
|
|Reviewed by
(EBP Statewide Coordinator)||| Approved
Denied|
|Reason for Denial|
|
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|
|Reviewed by
(Director Facility
Admin/Support)||| Approved
Denied|
|Reason for Denial|
|
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|
Retention Schedule: Upon completion this form shall be maintained by the Statewide EBP Coordinator for two (2)
years.