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Full-Service Community Schools (FSCS) Interest Form--Rural Project
Identifying Information
This section will ask for your district's identifying information, including contact information and proposed schools for the project.
Please note that this form is only for interest in the
Rural project
.
*
1.
Who is the main point of contact for this interest form and follow-up?
(Required.)
Name (first, last)
Title/Position
Employer
School District
Email Address
*
2.
Are you applying with a Lead Partner Agency (LPA)?
(Required.)
Yes
No
If yes, please list the name of the LPA:
*
3.
List the two schools proposed to serve through this project (Note: if your district only contains one school, please only list that school).
(Required.)
School 1:
School 2:
*
4.
List contact information for the Principals at each named school.
(Required.)
School 1 Principal Name:
School 1 Principal Email:
School 2 Principal Name:
School 2 Principal Email:
