EMC-KAKEland Reading Caravan Online Nomination Form
EMC-KAKEland Reading Caravan Online Nomination Form
$req.param("responded")

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*
12.Terms and Conditions
   YES, I have read, understand, and agree to the Web site usage agreement and privacy policy.
* represents required fields