Joining the 2011-12 Dream Flag Project

Exit this survey

 

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1. Please enter your name and school/organizaton information here:

Please enter your name and school/organizaton information here:   Name:
Organization:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:

2. If you have one, please tell us your school's website address.

If you have one, please tell us your school's website address.

3. How would you describe your community?

How would you describe your community?   Urban	Suburban	Rural
Other (please specify)

4. Is your school or organization public or non-public (independent or parochial)?

Is your school or organization public or non-public (independent or parochial)?   Public

Non-Public

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5. What are the grades or ages of students who will participate?

What are the grades or ages of students who will participate?

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6. About how many students do you expect will participate? (Please enter a number.)

About how many students do you expect will participate? (Please enter a number.)

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7. About how many teachers or adults will be involved from your school or organization? (Please enter a number.)

About how many teachers or adults will be involved from your school or organization? (Please enter a number.)

8. Please enter the names AND emails of adults (other than yourself) who will be involved--as many as you know at this time.

Please enter the names AND emails of adults (other than yourself) who will be involved--as many as you know at this time.

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9. Are you new or returning to The Dream Flag Project?

Are you new or returning to The Dream Flag Project?   New	Returning
If you are returning, what brought you back? If you are new, what helped you choose to join in?

10. If you are new, what brought you to The Dream Flag Project? If you are returning, what brought you back?

If you are new, what brought you to The Dream Flag Project? If you are returning, what brought you back?

11. How did you learn about The Dream Flag Project?

How did you learn about The Dream Flag Project?   Internet Search	Colleague or Friend	Professional Group	Conference or Workshop	Other
Please add any explanation of your choice above.

12. If you have done The Dream Flag Project for two or more years, would you be willing to be a mentor to a teacher who is new to The Dream Flag Project?

If you have done The Dream Flag Project for two or more years, would you be willing to be a mentor to a teacher who is new to The Dream Flag Project?   Yes.	Maybe. I'd like more information.	Not at this time.
Comments?

13. Anything else you'd like to say?

Anything else you'd like to say?