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* 1. Name:

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* 2. Email Address

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* 3. School Name:

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* 4. School Address Street Number:

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* 5. City:

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* 6. State:

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* 7. Zip Code:

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* 8. Please Enter County where School is Located:

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* 9. Number of Fifth Grade Students Participating: 

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* 10. Number of Fifth Grade Classrooms:

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* 11. Please agree to the following:
Every 5th grade classroom in the school will participate in the program.
Each 5th grade classroom will receive a minimum of 1-hour of STEP instruction by May 24, 2024.
The appropriate person at the school will participate in a program survey evaluation by June 14, 2024.

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