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* 1. First Name

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* 2. Last Name

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* 3. Preferred Email Address

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* 4. Secondary email address (optional)

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* 5. School Name

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* 6. School Address

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* 7. School City

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* 8. School State

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* 9. School Zipcode

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* 10. School Phone

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* 11. Home Address

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* 12. Home City

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* 13. Home State

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* 14. Home Zipcode

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* 15. Preferred Phone Number

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* 16. Secondary Phone Number (optional)

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* 17. Why do you want to participate in Project Astro?

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* 18. How will you include astronomy in your curriculum this year and how many students/classes will be involved?

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* 19. How do you see your astronomer partner contributing to astronomy in your classroom?

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* 20. How did you hear about Project Astro?

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