Act! Speak! Build! Week 2010

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Question Title

* 1. Name of School or Group

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* 2. Contact Person

Name (first and last)

Phone number

Email address

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* 3. Is the contact person student, parent, or staff?

student

parent

staff

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* 4. Current Mailing Address(no abbreviations please)

Address 1

Address 2

City

State

Zip

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* 5. What kind of address did you provide?

home

school/organization

Question Title

* 6. Participant Grade Level

Elementary School (K-5)

Middle School (6-8)

High School (9-12)

College

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* 7. How many people do you anticipate participating with your group?

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* 8. How did you hear about Act! Speak! Build! Week 2010?

HFH GLA website

Habitat for Humanity International

flyer/ email

school

youth organization

family member/ friend

Question Title

* 1. Name of School or Group

Question Title

* 2. Contact Person

Question Title

* 3. Is the contact person student, parent, or staff?

Question Title

* 4. Current Mailing Address(no abbreviations please)

Question Title

* 5. What kind of address did you provide?

Question Title

* 6. Participant Grade Level

Question Title

* 7. How many people do you anticipate participating with your group?

Question Title

* 8. How did you hear about Act! Speak! Build! Week 2010?

Question Title

* 9. Will your group be submitting an entry in the YouTube Video Contest? If so, how many members will participate?