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"Kids Safe Online" Poster Contest - Electronic Submission Form
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1.
Student's First Name
(Required.)
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2.
Student's Last Name
(Required.)
*
3.
Grade
(Required.)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
4.
Special Education Entry?
Yes
No
*
5.
Teacher's Name
(Required.)
*
6.
Teacher's Email
(Required.)
*
7.
School Name
(Required.)
8.
School District
*
9.
School Address
(Required.)
Address
*
Address 2
City/Town
*
State/Province
ZIP/Postal Code
*
Phone Number
*
*
10.
Poster Upload - labeled as first name last name grade (ie. Jessica Smith K)
(Required.)
Choose File
No file chosen
If you have any questions please contact Jessica Smith (518) 242-5020 Jessica.smith2@its.ny.gov