CASBA Award Event Information

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* 1. CASBA Name (ISD/RESD/RESA/ESA):

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* 2. CASBA Contact Person:

Name:

Email:

Phone Number:

Mailing Address for awards (street, city, zip):

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* 3. Award Event Details

Date/Start Time:

Date

Time

AM/PM

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* 4. Location of Event (please provide the complete address):

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* 5. Agenda (please include times)

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* 6. Would you like an MASB staff member to provide a complimentary one-hour educational presentation at the event?

Yes

No

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* 7. Do you want to request an MASB staff member to distribute the awards at the event?

Yes

No

If you would like to schedule a complimentary one-hour educational presentation, please contact Amy Rucker at arucker@masb.org or 517.816.4527.

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* 8. Please provide any updates to your school board since last year.