2017 NJDRLAP Participation Survey

1. District/Organization Information

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* 1. District/Organization Name:

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* 2. District/Organization Address:

Street address:

City:

Zip:

County:

Six digit county-district code:

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* 3. Organization Type:

Public School District

Public Charter School

Private/Non-Public School

Other (please specify)

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* 4. What is your district-wide (organization-wide) average E-Rate discount (%)?