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GEORGIA PT Scholar and Storyteller Final Report Spring 2013
PERSONAL INFORMATION
14%
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1.
What is your PRIME TIME Role?
(Required.)
Scholar
Storyteller
Role
Scholar
Storyteller
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2.
Click to select the name of your PRIME TIME site.
(Required.)
Athens Regional Library System
Elbert County Public Library
Fitzgerald-Ben Hill County Library
Gwinnett County Public Library--Lilburn branch
Roddenbery Memorial Library
Three Rivers Regional Library--Wayne Cty Library
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3.
Please provide the information requested below.
(Required.)
Name:
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Home Address:
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Home Address 2:
City/Town:
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State:
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AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
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Email Address:
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Verify Email Address:
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4.
If you were unable to attend any sessions, please click to indicate which. Select all that apply.
Session 1
Session 2
Session 3
Session 4
Session 5
Session 6
Session 7 (if applicable)
Session 8 (if applicable)
Please list the name of the scholar or storyteller who filled in for you during the missed session(s).
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5.
Please estimate the number of hours you spent planning, organizing, and implementing the PRIME TIME program. (Data provides a more accurate picture of the costs of PRIME TIME)
(Required.)
Total Planning/Preparation Hours
