Contact Information

The Idaho Out-of-School Network is conducting a statewide survey of out-of-school providers working with middle-school-aged children (grades 6-9). Based on what is learned from this survey the Idaho Out-of-School Network will be in position to address critical areas of Youth Development, Drug Abuse and Prevention, Workforce Development, STEM Learning and so much more.

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* 1. Program Name:

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* 2. Director/Manager Name:

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* 3. If different than Director/Manager, Contact Person name:

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* 4. Program Address:

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* 5. Program City:

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* 6. Program Zip Code:

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* 7. Program County:

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* 8. Mailing Address if different than program address:

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* 9. Email of Contact Person:

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* 10. Phone Number of Contact Person:

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* 11. Is the program an Organization (Federal/National/State/City/County level), Program (Part of an organization with 1 or more sites), or a site (part of a program and/or organization)? 
  

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