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School Interest Form
Please use this form to indicate interest in having An Open Book Foundation bring programming to your school. If you are already working with us, there is no need to complete a new form each year.
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* Indicates required question
Email
*
Your email
School Name
*
Your answer
School Address
*
Your answer
Office Phone
*
Your answer
DC Ward, MD or VA County
*
Choose
DC Ward 1
DC Ward 2
DC Ward 4
DC Ward 5
DC Ward 6
DC Ward 7
DC Ward 8
MD - Montgomery County
MD - Prince George's County
VA - Alexandria City
VA - Fairfax County
Other (please identify)
Grades in your school (check all that apply)
*
PreK
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Out-of-school time programming
Other:
Required
Number of Classes per grade
*
Your answer
Are you a Title 1 School?
*
Yes
No
I'm not sure
What % of your student populations is eligible for the National School Lunch and Breakfast Program (FARMS)
*
Your answer
Does your school offer summer programming?
*
Yes
No
Maybe
Your Name
*
Your answer
Your Title
*
Your answer
Your Cell Phone
*
Your answer
Your office/classroom phone
Your answer
Anything else we should know? (describe your school population)
*
Your answer
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