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Act! Speak! Build! Week 2010
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1
. Name of School or Group
Name of School or Group
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2
. Contact Person
Contact Person
Name (first and last)
Phone number
Email address
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3
. Is the contact person student, parent, or staff?
Is the contact person student, parent, or staff?
student
parent
staff
4
. Current Mailing Address(no abbreviations please)
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?
What kind of address did you provide?
home
school/organization
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6
. Participant Grade Level
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?
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?
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
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9
. Will your group be submitting an entry in the YouTube Video Contest? If so, how many members will participate?
Will your group be submitting an entry in the YouTube Video Contest? If so, how many members will participate?
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