Community Tool Box Curriculum Order Form

Item Quantity- Quantity- Quantity- Total

Participant Set of all 14 Facilitator’s Cost
Guides Participant Kits
($12 each) Guides ($50 each)*
($150 each)

1. Creating and Maintaining Coalitions and Partnerships

2. Assessing Community Needs and Resources

3. Analyzing Problems and Goals

4. Developing a Framework or Model of Change

5. Developing Strategic and Action Plans

6. Building Leadership

7. Developing an Intervention

8. Increasing Participation and Membership In development

9. Enhancing Cultural Competence

10. Advocating for Change

11. Influencing Policy Development In development

12. Evaluating the Initiative

13. Implementing a Social Marketing Campaign

14. Writing a Grant Application for Funding Not yet available

15. Improving Organizational Management and Development Not yet available

16. Sustaining the Project or Initiative

SUBTOTAL:

Shipping will be added to the subtotal. Please circle: Name:

Overnight st
1 Class Media Mail Email:
Phone:
Mailing address:

TOTAL (Work Group will complete this Total):

*NOTE: The Facilitator’s Kit (adaptable instructor/facilitator’s outline, adaptable PowerPoint slides, and a copy
of the Participant Guide) is available for those who order a minimum of 10 copies of the Participant Guide for a
Module. If 20 or more copies of a Module are ordered, the Facilitator’s Kit for that Module is included for free.

You may submit your order via email, fax, or by phone.

EMAIL: kuworkgroup@ku.edu, FAX: (785) 864-5281, PHONE: (785) 864-0533