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Project:Connect Application
Name of School
or Community Group
*
:
Contact Name
*
:
Address 1:
Address 2:
City
*
:
Province
*
:
Postal Code
*
:
General Email
*
:
Web Page:
Main Phone:
Main Fax:
Organization Type
*
:
Select a Type
Public
Private
Parochial
Non-Profit
Individual
After-School
Other Education
Other
Number of Classes Taught
*
:
Grades Served
*
:
4th grade
5th grade
6th grade
7th grade
8th grade
other
Total Students:
Average Class Size:
Please select
1
2
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80
81
82
83
84
85
86
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89
90
91
92
93
94
95
96
97
98
99
100
Average Female Percentage
*
:
Please select
0
1
2
3
4
5
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8
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91
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99
100
Average Students per Computer:
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