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EMC-KAKEland Reading Caravan Online Nomination Form
I would like to nominate the following school for an EMC-KAKEland Reading Caravan grant.
1.
Name of School
*
2.
Principal's name (first & last)
*
3.
Librarian’s name (first & last)
*
4.
Address (street, city, state, & zipcode)
*
5.
Phone
*
6.
This school deserves an EMC-KAKEland Reading Caravan grant because...
*
7.
My Name (first & last)
*
8.
My Address (street, city, state & zipcode)
*
9.
My Phone Number:
*
10.
My relationship to the nominated school
*
11.
Please enter your date of birth.
Month
*
Day
*
Year
*
January
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12.
Terms and Conditions
YES, I have read, understand, and agree to the
Web site usage agreement
and
privacy policy
.
*
represents required fields
Children under the age of 13 may not submit this form.