NEH Black Belt civil rights application
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Email *
Name *
Email address *
Location of school (city and state/territory) *
School type  *
Grade level or levels taught *
Subject area or areas taught *
Years of teaching experience *
Approximate number of students taught per year *
How did you learn about the program?  *
Which program week would you prefer to participate in?  *
If accepted, would you be willing to participate in either week? 
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In 2-3 short paragraphs, explain how you hope this  workshop will inform your teaching of related topics  *
What current or future classes or other teaching activities do you hope would be impacted by your participation in the workshop? *
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